基于营养状况数据标准化处理分析的营养支持对急性淋巴细胞白血病患儿的影响  

Effect of nutritional support on children with acute lymphoblastic leukemia based on data standardized processing analysis of nutritional status

作　　者：潘克香 王正梅[2] 李光珍[1] 周月 茆丽丽[1] PAN kexiang;WANG Zhengmei;LI Guangzhen;ZHOU Yue;MAO Lili(Department of Pediatrics,the Affiliated Huaian NO.1 People’s Hospital of Nanjing Medical University,Jiangsu Province,Huaian 223300,China;Department of Nursing,the Affiliated Huaian NO.1 People’s Hospital of Nanjing Medical University,Jiangsu Province,Huaian 223300,China)

机构地区：[1]南京医科大学附属淮安第一医院儿科,江苏淮安223300 [2]南京医科大学附属淮安第一医院护理部,江苏淮安223300

出　　处：《中国医药导报》2022年第18期86-89,共4页China Medical Herald

基　　金：江苏省自然科学基金青年科学基金项目(BK20161046)。

摘　　要：目的分析基于营养状况数据标准化处理分析的营养支持对急性淋巴细胞白血病(ALL)患儿的影响。方法选取2018年1月至2020年12月南京医科大学附属淮安第一医院60例ALL患儿,采用随机数字表将其分为研究组和对照组,每组30例。对照组根据参照《2018 ESPEN重症临床营养指南》给予营养支持,研究组基于营养状况数据标准化处理分析给予营养支持,比较两组入院时和营养支持20 d时的营养状况和体测指标,同时在营养支持20 d时统计感染情况。结果营养支持20 d时,两组血清白蛋白和血清前白蛋白高于入院时,且研究组高于对照组,差异有统计学意义(P<0.05)。两组上臂围高于入院时,且研究组高于对照组,差异有统计学意义(P<0.05);研究组肱三头肌皮褶厚度高于入院时,差异有统计学意义(P<0.05)。研究组呼吸道感染、口腔感染、肛周感染、肺部感染发生率低于对照组,差异有统计学意义(P<0.05)。结论基于营养状况数据标准化处理分析的营养支持,可纠正营养不良,控制感染发生率。Objective To analyze the effect of nutritional support on children with acute lymphoblastic leukemia(ALL)based on data standardized processing analysis of nutritional status.Methods A total of 60 children with ALL were selected from the Affiliated Huaian NO.1 People’s Hospital of Nanjing Medical University from January 2018 to December 2020 were selected,they were divided into study group and control group by random number table method,with 30 cases in each group.The control group was given nutritional support according to 2018 ESPEN Critical Clinical Nutrition Guidelines,while study group was given nutritional support based on data standardized processing analysis of nutritional status.The nutritional status and physical indicators of two groups were compared on admission and at 20 d of nutritional support,and the infection status was counted at 20 d of nutritional support.Results At 20 d of nutritional support,serum albumin and serum prealbumin in both groups were higher than those on admission,and study group was higher than control group,and the differences were statistically significant(P<0.05).The upper arm circumference of two groups was higher than that on admission,and study group was higher than control group,and the differences were statistically significant(P<0.05).The triceps skin fold thickness of study group was higher than that on admission,and the difference was statistically significant(P<0.05).The incidence of respiratory tract infection,oral infection,perianal infection,and lung infection in study group was lower than that in control group,and the difference was statistically significant(P<0.05).Conclusion Nutritional support based on data standardized processing analysis of nutritional status can correct malnutrition and control the incidence of infection.

关 键 词：急性淋巴细胞白血病 儿童 营养状况 营养不良风险 数据标准化 

分 类 号：R733.71[医药卫生—肿瘤]