婴幼儿下呼吸道感染患儿应用STRONGkids工具营养筛查及对临床结局的可能影响  

Application of STRONGkids to screen infants with lower respiratory tract infection and its possible influence on clinical outcome

作　　者：张丹 卢艳萍 潘素香 吴斌[1] Zhang Dan;Lu Yan-ping;Pan Su-xiang;Wu Bin(Department of Pediatrics, The First Affiliated Hospital of Fujian Medical University, Fuzhou 350005, China)

机构地区：[1]福建医科大学附属第一医院儿科,福州市350005

出　　处：《中华临床营养杂志》2019年第4期233-237,共5页Chinese Journal of Clinical Nutrition

摘　　要：目的探讨婴幼儿下呼吸道感染营养风险发生率,比较不同营养风险对其临床结局的影响,为婴幼儿下呼吸道感染临床营养管理提供依据。方法选取2013年1月至2016年3月在本院儿内科住院治疗的下呼吸道感染婴幼儿为研究对象。采用营养状况和生长风险筛查工具(STRONGkids)进行筛查。结果957例婴幼儿下呼吸道感染纳入研究,高营养风险、中低营养风险发生率分别为17.6%、82.4%,其临床治愈率分别为68.5%、71.4%;肺炎和支气管炎患儿高营养风险发生率分别为20.60%、4.87%,差异有统计学意义(χ2=25.52,P=0.000)。时间-效应单因素分析(Kaplan-Meier法):婴幼儿中低营养风险和高营养风险的住院时间分别为9.3(0.3)d、13.3(1.0)d,两组间比较差异均有统计学意义(χ2=28.33,P=0.000),住院总费用分别为5 653.5(224.8)元、10 079.5(1 755.8)元,两组间比较差异有统计学意义(χ2=4.47,P=0.034)。多因素COX回归分析:高营养风险是住院婴幼儿下呼吸道感染住院时间的危险因素(RR=1.57,P=0.024)。结论婴幼儿下呼吸道感染存在较高的高营养风险发生率,与中低营养风险患儿比较,高营养风险患儿住院时间延长、住院费用增加、临床治愈率降低,是影响临床结局的危险性因素。因此,有必要对婴幼儿下呼吸道感染患儿实行营养风险筛查,为进行临床营养评价及营养干预提供理论依据。Objective To investigate the incidence of nutritional risk in infants with lower respiratory tract infection, and to compare the effects of different nutritional risks on clinical outcomes, and to provide evidence for clinical nutritional management of infantile lower respiratory tract infection. Methods Infants and young children with lower respiratory tract infection who were hospitalized in our hospital from January 2013 to March 2016 were selected as subjects. Nutritional risk screening was performed using the Nutritional Status and Growth Risk Screening Tool (STRONGkids). Results A total of 957 infants with lower respiratory tract infections were included in the study. The incidence of high nutrition risk and low and medium nutritional risk were 17.6% and 82.4%, respectively. The clinical cure rate was 68.5% and 71.4% respectively. The children with pneumonia and bronchitis had high nutritional risk. The incidence rates were 20.60% and 4.87%, respectively, and the difference was statistically significant (χ2=25.52, P=0.000). Time-effect single factor analysis (Kaplan-Meier method): The hospitalization time for infants with low nutritional risk and high nutritional risk was 9.3(0.3) d and 13.3(1.0) d, respectively. The difference between the two groups was statistically significant.(χ2=28.33, P=0.000), the total hospitalization expenses were 5 653.5(224.8) yuan and 10 079.5(1 755.8) yuan respectively. The difference between the two groups was statistically significant (χ2=4.47, P=0.034). Multivariate COX regression analysis: High nutritional risk was a risk factor for hospitalization of hospitalized infants with lower respiratory tract infection (RR=1.57, P=0.024). Conclusion There is a high incidence of high nutritional risk in infants with lower respiratory tract infection. Compared with children with low and moderate nutritional risk, the hospitalization time is longer, the hospitalization cost is increased, and the clinical cure rate is lower, which is the risk of clinical outcome. factor. Therefore, i

关 键 词：下呼吸道感染 婴幼儿 营养状况和生长风险筛查工具 

分 类 号：R725.6[医药卫生—儿科]