儿童肿瘤患者营养筛查量表的应用和筛选  

Application and selection of nutritional screening scales for pediatric cancer patients

作　　者：王佳钰 李婉琪 吴焱 李若愚 宋春花[5] 杜振兰 陶灵 Wang Jiayu;Li Wanqi;Wu Yan;Li Ruoyu;Song Chunhua;Du Zhenlan;Tao Ling(Department of Nutrition and Food Hygiene,School of Public Health,Institute of Nutrition,Fudan University,Shanghai 200030,China;Department of Basic Medicine,Shanghai Medical College of Fudan University,Shanghai 200032,China;Department of Nutrition Affiliated to Fudan University Shanghai Cancer Center,Shanghai 200032,China;College of Food Science and Technology,Yunnan Agricultural University,Kunming 650201,Yunnan,China;Department of Epidemiology,College of Public Health,Zhengzhou University,Zhengzhou 450052,Henan,China;Department of Hematology and Oncology,Faculty of Pediatrics,the Chinese People′s Liberation Army General Hospital,Beijing 100007,China)

机构地区：[1]复旦大学公共卫生学院营养与食品卫生教研室,复旦大学公共卫生学院营养研究院,上海200030 [2]复旦大学上海医学院基础医学院,上海200032 [3]复旦大学附属肿瘤医院营养科,上海200032 [4]云南农业大学食品科学技术学院,云南昆明650201 [5]郑州大学公共卫生学院流行病学教研室,河南郑州450052 [6]中国人民解放军总医院儿科医学部血液肿瘤科,北京100007

出　　处：《肿瘤代谢与营养电子杂志》2024年第4期585-590,共6页Electronic Journal of Metabolism and Nutrition of Cancer

基　　金：国家自然科学基金(82304124)。

摘　　要：营养不良降低儿童肿瘤患者的生命质量,增加其术后医院感染的风险。针对这一问题,尽早对儿童肿瘤患者进行营养筛查,并对存有营养不良风险的患儿采取干预措施,对预防营养不良及相关并发症极为重要。在我国,儿童肿瘤患者营养不良率相对较高,而肿瘤的类型、分期及治疗方案的个体差异性等多重因素,增加了评估儿童肿瘤患者是否营养不良的复杂性。目前,多数研究采用国外的营养风险评估量表,不同量表之间的结果难以统一和比较。因此,制订一套针对性强、适用于我国国情的临床营养筛查量表成为迫切需求。本文通过对比国内外当前儿童营养筛查量表的筛查目标、适用人群、评估内容、评分标准、实际应用、使用限制及效果评估方面的异同,归纳总结各自的优缺点,提出对现有量表的改进建议及制订适用于我国儿童肿瘤患者营养筛查量表的意见,旨在推进我国儿童肿瘤患者营养筛查量表的制订和应用。Malnutrition significantly reduces the living quality of pediatric cancer patients and increases the risk of postoperative infections.Addressing this issue through early nutritional screening and intervention for children at risk of malnutrition is crucial to prevent malnutrition and its associated complications.In China,the prevalence of malnutrition among pediatric cancer patients is relatively high,and multiple factors such as tumor type,stage,and the individual variability of treatment regimens increase the complexity of determining whether a child with cancer is malnourished.Currently,most studies use scales from other countries,making it difficult to standardize and compare results across different scales.Therefore,there is an urgent need to develop a set of targeted nutritional screening scales that are applicable to Chinese pediatric cancer patients.This paper compares the similarities and differences between the current domestic and international pediatric nutritional screening scales regarding their screening purpose,populations,content,scoring criteria,applications,limitations,and effectiveness.This paper further summarizes the advantages and disadvantages of each scale,proposes improvements to existing scales,and offers recommendations for developing a nutritional screening scale tailored for pediatric cancer patients in China,aimed at advancing the establishment and application of nutritional screening scales for pediatric cancer patients in the country.

关 键 词：儿童 肿瘤 营养筛查 营养风险 营养不良风险 营养不良 量表分析 量表筛选 

分 类 号：R459.3[医药卫生—治疗学] R730[医药卫生—临床医学]