东南大学学报（医学版）
東南大學學報（醫學版）
동남대학학보（의학판）
JOURNAL OF SOUTHEAST UNIVERSITY(MEDICAL SCIENCE EDITION)
2014年
5期
573-577
,共5页
儿内科%住院患者%营养风险%营养不良
兒內科%住院患者%營養風險%營養不良
인내과%주원환자%영양풍험%영양불량
child internal medicine%hospitalized patients%nutritional risk%malnutrition
目的：调查儿内科住院患者的营养不良及高营养风险发生率，探讨高营养风险发生率与血液营养指标的相关性。方法：应用STAMP评分对中国医科大学附属盛京医院儿内科收治的668例0～14岁住院患者进行营养风险筛查，比较不同系统疾病间营养不良发生率、血液营养指标，分析高营养风险的可能影响因素。结果：各系统疾病间营养不良发生率、高营养风险发生率、血清前白蛋白（ PA ）、肌酐（ Scr ）水平比较，差异有统计学意义（P＜0．05或P＜0．01）。总体营养不良发生率19．5％，高营养风险发生率28．1％，均以消化系统疾病发生率最高。血液营养指标异常在各系统疾病中均存在，其中以Scr、PA降低发生率最高，分别为96．6％、81．4％。高营养风险发生率与PA、Scr值呈负相关，而与C反应蛋白值呈正相关。结论：儿内科住院患者存在中、高度营养风险，以呼吸、消化系统疾病发生率较高。 PA、Scr可作为患儿更准确、更敏感的营养指标。重视患儿的营养状况，有利于患儿的预后。
目的：調查兒內科住院患者的營養不良及高營養風險髮生率，探討高營養風險髮生率與血液營養指標的相關性。方法：應用STAMP評分對中國醫科大學附屬盛京醫院兒內科收治的668例0～14歲住院患者進行營養風險篩查，比較不同繫統疾病間營養不良髮生率、血液營養指標，分析高營養風險的可能影響因素。結果：各繫統疾病間營養不良髮生率、高營養風險髮生率、血清前白蛋白（ PA ）、肌酐（ Scr ）水平比較，差異有統計學意義（P＜0．05或P＜0．01）。總體營養不良髮生率19．5％，高營養風險髮生率28．1％，均以消化繫統疾病髮生率最高。血液營養指標異常在各繫統疾病中均存在，其中以Scr、PA降低髮生率最高，分彆為96．6％、81．4％。高營養風險髮生率與PA、Scr值呈負相關，而與C反應蛋白值呈正相關。結論：兒內科住院患者存在中、高度營養風險，以呼吸、消化繫統疾病髮生率較高。 PA、Scr可作為患兒更準確、更敏感的營養指標。重視患兒的營養狀況，有利于患兒的預後。
목적：조사인내과주원환자적영양불량급고영양풍험발생솔，탐토고영양풍험발생솔여혈액영양지표적상관성。방법：응용STAMP평분대중국의과대학부속성경의원인내과수치적668례0～14세주원환자진행영양풍험사사，비교불동계통질병간영양불량발생솔、혈액영양지표，분석고영양풍험적가능영향인소。결과：각계통질병간영양불량발생솔、고영양풍험발생솔、혈청전백단백（ PA ）、기항（ Scr ）수평비교，차이유통계학의의（P＜0．05혹P＜0．01）。총체영양불량발생솔19．5％，고영양풍험발생솔28．1％，균이소화계통질병발생솔최고。혈액영양지표이상재각계통질병중균존재，기중이Scr、PA강저발생솔최고，분별위96．6％、81．4％。고영양풍험발생솔여PA、Scr치정부상관，이여C반응단백치정정상관。결론：인내과주원환자존재중、고도영양풍험，이호흡、소화계통질병발생솔교고。 PA、Scr가작위환인경준학、경민감적영양지표。중시환인적영양상황，유리우환인적예후。
Objective:To investigate the incidence rate of malnutrition and the high nutrition risk in hospitalized children in department of pediatrics , and to explore the correlation between the incidence of high nutrition risk and nutrition markers in blood .Methods:STAMP score was adopted to screen the nutrition risk of 668 children aged 0-14 hospitalized in Shengjing Hospital affiliated to Chinese Medicine University , the rate of malnutrition and nutrition markers in blood were compared among different system diseases , the possible effective factors on high nutrition risk were analysed .Results:Significant differences were found in the incidence rate of malnutrition and high nutrition risk, serum PA, Scr among different system diseases ( P<0.05 or P<0.01) .The total malnutrition incidence rate and high nutrition risk were 19.5% and 28.1% respectively, and both were found the highest in the digestive system disease .The abnormal markers in blood were distributed in all system diseases and the declines in Scr and PA were most common (96.6%and 81.4%, respectively).The high rate of nutrition risk was negtively correlated with PA, Scr while was positively with CRP .Conclusion:Moderate and high degrees of nutrition risk are found in the hospitalized children in department of pediatrics and the rate is especially high in the respiratory and digestive system diseases .PA and Scr may be more accurate and more sensitive nutrition markers .The nutrition status of the patients should be thought highly , and this would be benefit to prognosis .
