个体化营养支持方案对急性上呼吸道感染患儿预后的影响  

The Impact of Individualized Nutritional Support Programs on the Prognosis of Children with Acute Upper Respiratory Tract Infections

作　　者：张原景 鲍俊涛[2] 康莺歌 杨金学[1] ZHANG Yuan-jing;BAO Jun-tao;KANG Ying-ge;YANG Jin-xue(Department of Neonatology,Zhengzhou Seventh People's Hospital,Zhengzhou 450000,Henan Province,China;Department of Pediatric Surgery,Henan Provincial People’s Hospital,Zhengzhou 450000,Henan Province,China)

机构地区：[1]郑州市第七人民医院新生儿科,河南郑州450000 [2]河南省人民医院小儿外科,河南郑州450000

出　　处：《罕少疾病杂志》2025年第3期64-66,共3页Journal of Rare and Uncommon Diseases

摘　　要：目的 探讨个体化营养支持方案应用于急性上呼吸道感染患儿治疗中,观察其对预后的影响。方法 选取2021年1月至2023年12月我院儿科、发热门诊收治的急性上呼吸道感染患儿98例为研究对象,采用随机数字表法分为个体化营养干预组和常规营养干预组,各49例。常规营养干预组给予常规营养治疗,个体化营养干预组给予个体化营养支持。比较两组患儿的营养状态指标[血清白蛋白(ALB)、血红蛋白(Hb)、转铁蛋白(TF)、总蛋白(TP)]、心理状态[焦虑自评量表(SAS)评分和抑郁自评量表(SDS)评分]、生活质量[健康调查简表(SF-36量表)评分]、并发症发生情况。结果 治疗后,个体化营养干预组ALB(226.18±25.14)mg/L、Hb(128.39±5.01)g/L、TF(2.69±0.23)g/L、TP(68.49±3.27)g/L营养状态指标均高于常规营养干预组(167.23±17.58)mg/L、(125.51±4.10)g/L、(2.50±0.16)g/L、(60.22±4.10)g/L(P<0.05);治疗后,个体化营养干预组SAS评分(10.22±1.36)分、SDS评分(13.26±1.72)分、显著低于常规营养干预组(17.59±1.84)分、(20.22±2.01)分(P<0.05);治疗后,个体化营养干预组生理功能效能(89.26±5.61)分、身体疼痛感受(85.37±5.53)分、社交活动能力(86.97±6.12)分、情感角色履行(84.39±7.36)分、精神健康状况(89.13±8.01)分高于常规营养干预组(70.33±4.85)分、(71.36±3.86)分、(75.45±5.77)分、(74.22±6.10)分、(75.82±7.11)分(P<0.05);个体化营养干预组(0.00%)和常规营养干预组(14.29%)的并发症发生率比较(P<0.05)。结论 个体化营养支持方案应用于急性上呼吸道感染患儿显著改善营养状况和心理状态,提升生活质量,为患儿的预后带来积极影响。Objective To explore the application of individualized nutritional support programs in the treatment of children with acute upper respiratory tract infections and observe their impact on prognosis.Methods 98 children with acute upper respiratory tract infections admitted to our pediatric department from January 2021 to December 2023 were selected as the research subjects.They were randomly divided into an individualized nutrition intervention group and a routine nutrition intervention group using a random number table method,with 49 cases in each group.The conventional nutritional intervention group received conventional nutritional treatment,while the individualized nutritional intervention group received individualized nutritional support.Compare the nutritional indicators[serum albumin(ALB),hemoglobin(Hb),transferrin(TF),total protein(TP)],psychological status[Self Rating Anxiety Scale(SAS)score and Self Rating Depression Scale(SDS)score],quality of life[Short Form Health Survey(SF-36)score],and incidence of complications between two groups of children.Results After treatment,the nutritional status indicators of ALB(226.18±25.14)mg/L,Hb(128.39±5.01)g/L,TF(2.69±0.23)g/L,and TP(68.49±3.27)g/L in the individualized nutrition intervention group were higher than those in the conventional nutrition intervention group(167.23±17.58)mg/L,(125.51±4.10)g/L,(2.50±0.16)g/L,and(60.22±4.10)g/L(P<0.05).After treatment,the SAS score(10.22±1.36)and SDS score(13.26±1.72)of the individualized nutrition intervention group were significantly lower than those of the conventional nutrition intervention group(17.59±1.84)and(20.22±2.01)(P<0.05).After treatment,the physiological function efficacy(89.26±5.61),physical pain perception(85.37±5.53),social activity ability(86.97±6.12),emotional role performance(84.39±7.36),and mental health status(89.13±8.01)of the individualized nutrition intervention group were higher than those of the conventional nutrition intervention group(70.33±4.85),(71.36±3.86),(75.45±5.77),(74.2

关 键 词：急性上呼吸道感染 个体化营养支持 营养状态指标 心理状态 并发症 

分 类 号：R725.6[医药卫生—儿科]