个性化营养干预在小儿先天性心脏病术后的应用分析  

Application Analysis of Individualized Nutritional Intervention in Children with Congenital Heart Disease after Surgery

作　　者：周琳[1] 孙婷婷 李殷 侯玉玲 洪伟[2] 刘玲[3] Zhou Lin;Sun Ting-ting;Li Yin;Hou Yu-ling;Hong Wei;Liu Ling(Department of Nutrition,Kunming Children's Hospital,Kunming 650000,Yunnan Province,China;Cardiothoracic Surgery,Kunming Children's Hospital,Kunming 650000,Yunnan Province,China;Department of Neonatology,Kunming Children's Hospital,Kunming 650000,Yunnan Province,China)

机构地区：[1]昆明市儿童医院营养科,云南昆明650000 [2]昆明市儿童医院心胸外科,云南昆明650000 [3]昆明市儿童医院新生儿科,云南昆明650000

出　　处：《中外医药研究》2022年第2期108-110,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:探讨小儿先天性心脏病术后应用个性化营养干预的价值。方法:选取2021年1月-2022年1月于昆明市儿童医院行手术治疗的80例小儿先天性心脏病患儿作为研究对象,随机将其分为对照组与研究组,各40例。给予对照组常规护理,研究组在此基础上实施个性化营养干预。比较两组护理前后白蛋白(ALP)、前白蛋白(PA)、呼吸机使用时间、住院时间、体重、肱三头肌皮褶厚度及并发症发生率。结果:护理后,研究组ALP、PA水平均高于对照组,差异有统计学意义(P<0.05)。研究组呼吸机使用时间、住院时间均短于对照组,差异有统计学意义(P<0.05)。护理后,研究组体重、肱三头肌皮褶厚度均高于对照组,差异有统计学意义(P<0.05)。研究组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:将个性化营养干预应用于小儿先天性心脏病术后护理中效果显著,可有效改善患儿营养状况,加快其术后康复,并可降低并发症发生率,促进其生长发育。Objective:To explore the value of individualized nutritional intervention in children with congenital heart disease after surgery.Methods:A total of 80 children with congenital heart disease who underwent surgical treatment in Kunming Children's Hospital from January 2021 to January 2022 were selected as the research objects.They were randomly divided into control group and study group,40 cases in each group.The control group was given routine care,and the study group implemented individualized nutritional intervention on this basis.The albumin(ALP),prealbumin(PA),ventilator use time,hospitalization time,body weight,triceps skinfold thickness and the incidence of complications before and after nursing were compared between the two groups.Results:After nursing,the levels of ALP and PA in the study group were higher than those in the control group,and the difference was statistically significant(P<0.05).The ventilator use time and hospital stay in the study group were shorter than those in the control group,and the difference was statistically significant(P<0.05).After nursing,the body weight and triceps skinfold thickness of the study group were higher than those of the control group,and the difference was statistically significant(P<0.05).The incidence of complications in the study group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:The application of individualized nutritional intervention in the postoperative care of children with congenital heart disease has a significant effect,which can effectively improve the nutritional status of children,speed up their postoperative recovery,reduce the incidence of complications,and promote their growth and development.

关 键 词：小儿先天性心脏病 个体化营养干预 常规护理 营养状况 

分 类 号：R47[医药卫生—护理学]