基于营养风险评估的早期肠内营养支持策略在重症颅脑损伤患儿中的应用  

Application of early enteral nutritional support strategy based on nutritional risk assessment in children with severe craniocerebral injury

作　　者：刘莉莉[1] 申静雯 谭志军[1] 雷超莲 黄玘宁 LIU Lili;SHEN Jingwen;TAN Zhijun;LEI Chaolian;HUANG Qining(Guigang People's Hospital,Guigang,Guangxi,537100,China)

机构地区：[1]贵港市人民医院,广西贵港537100

出　　处：《中西医结合护理(中英文)》2025年第2期17-20,共4页Journal of Clinical Nursing in Practice

摘　　要：目的探讨重症颅脑损伤患儿采用基于营养风险评估的早期肠内营养支持策略的价值。方法回顾性选择2020年1月至2023年1月贵港市人民医院收治的100例重症颅脑损伤患儿资料进行分析,根据护理方法的不同分为对照组与观察组,每组50例。其中对照组给予常规护理,观察组实施基于营养风险评估的早期肠内营养支持策略。比较2组患儿的营养状况等指标。结果术后7 d、术后15 d,2组的血清前白蛋白、血红蛋白、总蛋白水平及身体质量指数均较术前升高(P均<0.05),且观察组均较对照组更高(P均<0.05);2组的营养风险筛查2002、焦虑自评量表和抑郁自评量表评分均低于术前(P均<0.05),且观察组均较对照组更低(P均<0.05)。观察组的并发症总发生率低于对照组(P<0.05)。结论将基于营养风险评估的早期肠内营养支持策略应用于重症颅脑损伤患儿,有助于改善患儿的营养状况、机体内环境和不良情绪,亦可降低并发症发生率。Objective To explore the application of early enteral nutritional support strategy based on nutritional risk assessment in the children with severe craniocerebral injury.Methods The data of 100 children with severe craniocerebral injury admitted to Guigang People's Hospital from January 2020 to January 2023 were retrospectively analyzed.According to different nursing methods,they were assigned into control and observation groups,each with 50 cases.The control group was given routine nursing,and the observation group implemented early enteral nutritional support strategy based on the nutritional risk assessment.The nutritional status and other indicators of the two groups were compared.Results On the 7th and 15th days postoperatively,the levels of serum prealbumin,hemoglobin,total protein and body mass index in both groups were elevated compared with preoperative values(P<0.05),with the observation group exhibiting higher levels than the control group(P<0.05).The scores of the Nutritional Risk Screening 2002,Self-Rating Anxiety Scale,and Self-Rating Depression Scale in both groups were decreased compared with preoperative values(P<0.05),with the observation group exhibiting lower scores than the control group(P<0.05).The total complication rate of the observation group was lower than that of the control group(P<0.05).Conclusion The early enteral nutritional support strategy based on the nutritional risk assessment was applied to children with severe craniocerebral injury,which was helpful to improve the nutritional status,internal environment and adverse emotions of children,and reduce the incidence of complications.

关 键 词：重症颅脑损伤 患儿 营养风险评估 早期肠内营养支持 营养状况 

分 类 号：R473.72[医药卫生—护理学]