百日咳患儿营养不良风险筛查及影响因素分析  

Screening for malnutrition risks and analysis of influencing factors in children with pertussis

作　　者：颜细丽 刘静[2] 胡巧梅 陶玉琼 YAN Xili;LIU Jing;HU Qiaomei;TAO Yuqiong(Children′s Hospital Affiliated to Xiangya Medical College,Central South University(Hunan Children′s Hospital),Changsha 410007,China)

机构地区：[1]中南大学湘雅医学院附属儿童医院病友服务中心,长沙410007 [2]中南大学湘雅医学院附属儿童医院感染科,长沙410007

出　　处：《中国中西医结合儿科学》2025年第1期50-54,共5页Chinese Pediatrics of Integrated Traditional and Western Medicine

基　　金：湖南省中医药科研计划项目(C2024023)。

摘　　要：目的分析百日咳患儿营养不良的风险因素。方法选择2023年3月至2024年3月湖南省儿童医院收治住院治疗的百日咳患儿124例作为研究对象,根据患儿是否出现营养不良进行分组,将单因素中统计结果有意义的指标纳入Logistic回归分析。结果124例百日咳患儿营养不良评估得分为(3.59±1.74)分,其中出现营养不良38例(30.65%),营养正常86例(69.35%)。经Logistic回归分析结果显示,患儿年龄、疾病严重程度、是否合并其他疾病、疾病不确定感、睡眠情况为影响其出现营养不良的危险因素(P<0.05)。结论百日咳住院患儿营养不良情况严重,低龄、疾病较为严重、合并其他疾病、家属疾病不确定感水平较高、患儿睡眠情况差均为患儿营养不良的独立危险因素。应进行科学合理的喂养,以降低患儿营养不良发生率。Objective To analyze the risk factors for malnutrition in children with pertussis.Methods Totally 124 children with pertussis hospitalized for treatment in Hunan Children′s Hospital from March 2023 to March 2024 were selected as the research subjects.The children were grouped according to whether they had malnutrition,and the indicators with statistical significance in the single factor were included in Logistic regression analysis.Results The malnutrition assessment score for 124 children with pertussis was(3.59±1.74),including 38 cases(30.65%)with malnutrition and 86 cases(69.35%)with normal nutrition.The results of Logistic regression analysis showed that age,severity of disease,presence of other diseases,uncertainty about disease,and sleep status were risk factors for malnutrition in the children(P<0.05).Conclusion Severe malnutrition exists in hospitalized children with pertussis,and low age,severe illness,comorbidities,high levels of uncertainty about disease in family members and poor sleep conditions are all independent risk factors for malnutrition in children.Scientific and reasonable feeding should be carried out to reduce the incidence of malnutrition in children.

关 键 词：百日咳 营养不良 疾病不确定感 睡眠质量 儿童 

分 类 号：R725.1[医药卫生—儿科]