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当前位置: 首页 > 文章 > 住院肝病患儿营养评估及营养风险筛查 中国食物与营养 2018 (07) 70-73
Position: Home > Articles > Nutritional Assessment and Nutritional Risk Screening in Hospitalized Children with Liver Disease Food and Nutrition in China 2018 (07) 70-73

住院肝病患儿营养评估及营养风险筛查

作  者：
郝明明;卢金英;常涛涛
关键词：
儿童;肝病;营养评估;营养风险筛查
摘  要：
目的:探讨肝病患儿住院期间的营养状况及营养风险,并分析肝病患儿营养风险与预后的关系,为临床实施营养支持提供科学依据。方法:选取就诊于河北省衡水市哈励逊国际和平医院的360例肝病患儿为研究对象,采用Z评分法对患儿的营养状况进行评估,采用STAMP评分法对患儿的营养风险进行评价,分析营养不良与疾病的关系,探讨不同营养风险评分与血液学营养指标(白蛋白、前白蛋白、运铁蛋白、视黄醇结合蛋白)及不良临床结局(感染、住院时间、医疗费用)的关系。结果:与其他常见肝病比较,慢性乙型病毒性肝炎患儿营养不良的发生率最高,差异具有统计学意义(P<0.05)。高营养风险组与中、低营养风险组患儿比较营养不良的发生率、血清营养指标及不良临床事件存在显著差异(P<0.05)。结论:慢性乙型病毒性感染患儿容易发生营养不良,高营养风险患儿的感染发生率、住院时间及医疗花费明显增加,高营养风险组患儿的白蛋白和前白蛋白明显异常是区分不同营养风险的敏感指标。
译  名：
Nutritional Assessment and Nutritional Risk Screening in Hospitalized Children with Liver Disease
作  者：
HAO Ming-ming;LU Jin-ying;CHANG Tao-tao;Department of Pediatric Medicine,Halixun International Peace Hospital;
单  位：
HAO Ming-ming%LU Jin-ying%CHANG Tao-tao%Department of Pediatric Medicine,Halixun International Peace Hospital
关键词：
child;;liver disease;;nutrition assessment;;nutrition risk screening
摘  要：
Objective To investigate the nutritional status and nutritional risk of children with liver disease during hospitalization,and analyze the relationship between nutritional risk and prognosis to provide evidence for clinical implementation of nutritional support. Method A total of 360 children with liver disease who were admitted to our hospital were enrolled in the study. The Z-score method was used to evaluate the children's nutritional status. The nutritional risk of the children was evaluated by the STAMP scoring method and the relationship between malnutrition and disease was analyzed. To explore the relationship between different nutritional risk scores and hematological nutrition indicators including albumin,prealbumin,transferrin,retinol binding protein and adverse clinical outcomes including infection,hospitalization time,medical expenses. Result Compared with other common liver diseases,the incidence of malnutrition in children with chronic hepatitis B was the highest,and the difference was statistically significant( P < 0. 05). There was a significant difference in the incidence of malnutrition,serum nutritional indicators and adverse clinical events between the high-nutrition risk group and the children in the low-nutrition risk group( P < 0. 05). Conclusion Children with chronic hepatitis B infection are prone to malnutrition. The incidence of infection,hospitalization time and medical expenses are significantly increased in children with high nutritional risk. The albumin and prealbumin in children with high nutritional risk are abnormal.,and sensitive indicators of different nutritional risks.

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