小儿临床营养数字化平台在PICU营养评估中的应用  

Application of pediatric clinical nutrition assessment digital platform in PICU

作　　者：吴瑕[1] 程超[1] 王玉静[1] 杨妮[1] 王丽杰[1] 许巍[1] 刘春峰[1] Wu Xia;Cheng Chao;Wang Yujing;Yang Ni;Wang Lijie;Xu Wei;Liu Chunfeng(Department of Pediatrics,Shengjing Hospital of China Medical University,Shenyang 110004,China)

机构地区：[1]中国医科大学附属盛京医院儿内科,沈阳110004

出　　处：《中国小儿急救医学》2020年第12期904-907,共4页Chinese Pediatric Emergency Medicine

基　　金：中国健康促进基金会儿科营养支持团队(NST)发展科研公益项目(XM-2019-000-0114-03)。

摘　　要：目的应用小儿临床营养数字化平台对PICU患儿进行营养评估,了解PICU患儿营养状况,指导营养干预,提高重症医生对营养的关注。方法选取2019年1月1日至12月31日入住我院PICU的患儿1 262例,将临床资料、生长指标、饮食摄入情况录入小儿临床营养数字化平台进行营养风险筛查,对存在营养不良风险的患儿进行营养评估,并进行营养干预。结果入院时存在营养风险926例(72.34%),其中原发病风险291例(31.43 %);饮食情况2分26例(2.81%);体格测量1分308例(33.26%),2分260例(28.08%),3分271例(29.27%)。出院时存在营养风险748例(65.72%)。入院时营养不良患儿的平均住院日(10.8±3.3)d,入院正常患儿平均住院日(13.4±4.6)d。出院营养不良患儿平均住院日(11.7±4.2)d,出院无营养不良患儿平均住院日(8.5±2.9)d。入院存在营养风险的患儿中,营养不良372例(40.17%),其中严重营养不良91例(9.83%),出院时营养不良220例(29.41%),其中严重营养不良68例(9.09%)。结论 PICU患儿营养风险发生率高,且随住院时间延长而风险升高。住院期间予营养支持干预,可一定程度降低营养不良发生率。营养不良风险筛查、营养不良评估及干预对了解并改善患儿营养状态及临床预后起重要作用。Objective:The digital platform of pediatric clinical nutrition was used to evaluate the nutrition of PICU patients,understand the nutritional status and guide nutritional intervention,as well as call up PICU doctors′attention.Methods:From January 1 to December 31,2019,1262 children who were admitted to PICU of our hospital were selected.The clinical data,growth indicators and dietary intake were recorded into the digital platform of clinical nutrition of children for nutrition evaluation.The children with malnutrition risk were assessed for nutrition intervention.Results:A total of 926(72.34%)patients had admission nutritional risk,including 291(31.43%)of them had primary disease risk;26(2.81%)children had serious insufficient diet intake;308(33.26%)patients had one-point physical measurement result;260(28.08%)children had two-point and 271(29.27%)children earned 3 point.There were 748(65.72%)patients with nutritional risk at discharge.Patients were hospitalized for an average of(10.8±3.3)days with malnutrition,while(13.4±4.6)days without malnutrition.The average length of stay was(11.7±4.2)days for discharged malnutrition children and(8.5±2.9)days for non-malnutrition children.Among the hospitalized nutritional risk patients,372(40.17%)had malnutrition.There were 91 cases of severe malnutrition,accounting for 9.83%.While among the discharged nutritional risk patients,220(29.41%)cases had malnutrition,with 68(9.09%)cases of severe malnutrition.Conclusion:The incidence of malnutrition in PICU is high,and it increases along with the increase of hospitalization time.Nutritional support intervention during hospitalization can reduce the incidence of malnutrition to a certain extent.Malnutrition risk screening,malnutrition assessment and intervention play an important role in understanding and improving children′s nutritional status and clinical prognosis.

关 键 词：小儿临床营养数字化平台 儿童重症监护病房 营养不良 营养风险 营养评估 儿童 

分 类 号：R723[医药卫生—儿科]