STRONGkids营养风险筛查量表在消化科住院病儿中的应用  

Application of STRONGkids for nutrition risk screening among hospitalized children in department of gastroenterology

作　　者：黄艳[1] 仇安云 潘键 鲍莹[1] HUANG Yan;QIU An-yun;PAN Jian;BAO Ying(Department of Gastroenterology Children's Hospital of Nanjing Medical University, Nanjing 210000,Jiangsu, China)

机构地区：[1]南京医科大学附属儿童医院消化科,江苏南京210000

出　　处：《肠外与肠内营养》2019年第2期95-98,共4页Parenteral & Enteral Nutrition

摘　　要：目的:对消化科住院病儿运用STRONGkids进行营养风险筛查,分析消化科病儿营养风险状况,为营养支持的合理运用提供依据。方法:选取2017年11月至2018年1月在南京医科大学附属儿童医院消化科住院的415名病儿为研究对象,入院24 h内采用STRONGkids对住院病儿进行营养风险筛查和问卷调查,所有资料均采用SPSS 17.0统计软件处理。结果:消化科病儿营养风险评分的平均得分(1.75±1.01),93.73%的消化科病儿处于中高风险;不同年龄和疾病诊断的消化科病儿营养风险评估有显著差异(P <0.05),不同性别及喂养方式的消化科病儿营养风险评分无显著差异(P> 0.05);不同营养风险程度病儿的生化指标及临床结局比较有显著差异(P <0.05)。结论:消化科住院病儿营养风险的发生率高,临床工作中应重点关注年龄较小且合并有腹泻以及血清血红蛋白、白蛋白、前蛋白、视黄醇结合蛋白浓度较低的病儿,从而及时给予合理的营养干预,改善病儿的临床结局。Objective: The purpose of the current study is to determine the role of STRONGkids in nutritional risk screening among hospitalized children in department of gastroenterology and to provide evidence for the nutritional intervention. Methods: Four-hundred and fifteen hospitalized children were recruited from November 2017 to January2018. The patients were assessed for nutritional risk by using STRONGkids and the questionnaire survey was conducted within 24 hours after admission. Results: The average nutritional risk scores was(1.75 ± 1.01). 93.73% of children were at medium and high nutritional risk. There were significant difference in the nutritional risk scores among children with different ages and type of digestive diseases(P < 0.05), but there was no significant difference in the nutritional risk scores among children with different gender or feeding way(P > 0.05). Biochemical indicators and clinical outcomes were significantly different among children with different nutritional risk scores(P < 0.05). Conclusions: Nutritional risk is high among hospitalized children in department of gastroenterology. To perform specific intervention and improve clinical outcomes, young age children with diarrhea and children with low concentrations of serum hemoglobin, albumin,proprotein and retinol binding protein should be paid specific attention.

关 键 词：消化科 住院病儿 营养风险 STRONGkids 

分 类 号：R459.3[医药卫生—治疗学]