中华急诊医学杂志
中華急診醫學雜誌
중화급진의학잡지
CHINESE JOURNAL OF EMERGENCY MEDICINE
2015年
6期
597-601
,共5页
危重症%营养不良%人体测量学%营养状况%小儿危重症评分%儿童死亡危险评分%疾病严重程度%预后
危重癥%營養不良%人體測量學%營養狀況%小兒危重癥評分%兒童死亡危險評分%疾病嚴重程度%預後
위중증%영양불량%인체측량학%영양상황%소인위중증평분%인동사망위험평분%질병엄중정도%예후
Critical illness%Malnutrition%Anthropometry%Nutritional status%Pediatric critical illness score%Pediatric risk of mortality scores%Severity of diseases%Clinical outcomes.
目的 了解危重患儿的营养状况,探讨营养状况与病情严重程度及预后的相关性,为临床对危重患儿进行合理的营养支持提供一定理论依据.方法 采集2010.11-2011.01期间入住北京儿童医院儿童加强监护病房(pediatric intensive care unit,PICU)的所有患儿作为研究对象.采用前瞻性研究方法,对入组患儿的身长、体质量等人体参数进行测量及营养评估.收集基础疾病、危重病例评分、住院时间、机械通气时间等临床资料.结果 196例患儿中,营养不良共43例,营养不良现患率为21.9％.营养不良组的儿童死亡危险评分大于营养正常组(P＜0.05);机械通气使用率高于营养正常组(P＜0.05);营养正常组患儿28 d存活率高于营养不良组(P＜0.05).结论 PICU入院患儿中营养不良的患病率为21.9％.营养不良组患儿儿童死亡危险评分、机械通气使用率高于营养正常组,28 d存活率低于与营养正常组,提示营养不良与疾病严重程度和预后相关.
目的 瞭解危重患兒的營養狀況,探討營養狀況與病情嚴重程度及預後的相關性,為臨床對危重患兒進行閤理的營養支持提供一定理論依據.方法 採集2010.11-2011.01期間入住北京兒童醫院兒童加彊鑑護病房(pediatric intensive care unit,PICU)的所有患兒作為研究對象.採用前瞻性研究方法,對入組患兒的身長、體質量等人體參數進行測量及營養評估.收集基礎疾病、危重病例評分、住院時間、機械通氣時間等臨床資料.結果 196例患兒中,營養不良共43例,營養不良現患率為21.9％.營養不良組的兒童死亡危險評分大于營養正常組(P＜0.05);機械通氣使用率高于營養正常組(P＜0.05);營養正常組患兒28 d存活率高于營養不良組(P＜0.05).結論 PICU入院患兒中營養不良的患病率為21.9％.營養不良組患兒兒童死亡危險評分、機械通氣使用率高于營養正常組,28 d存活率低于與營養正常組,提示營養不良與疾病嚴重程度和預後相關.
목적 료해위중환인적영양상황,탐토영양상황여병정엄중정도급예후적상관성,위림상대위중환인진행합리적영양지지제공일정이론의거.방법 채집2010.11-2011.01기간입주북경인동의원인동가강감호병방(pediatric intensive care unit,PICU)적소유환인작위연구대상.채용전첨성연구방법,대입조환인적신장、체질량등인체삼수진행측량급영양평고.수집기출질병、위중병례평분、주원시간、궤계통기시간등림상자료.결과 196례환인중,영양불량공43례,영양불량현환솔위21.9％.영양불량조적인동사망위험평분대우영양정상조(P＜0.05);궤계통기사용솔고우영양정상조(P＜0.05);영양정상조환인28 d존활솔고우영양불량조(P＜0.05).결론 PICU입원환인중영양불량적환병솔위21.9％.영양불량조환인인동사망위험평분、궤계통기사용솔고우영양정상조,28 d존활솔저우여영양정상조,제시영양불량여질병엄중정도화예후상관.
Objective To assess nutritional status of critically ill children,and to investigate the correlation of nutritional status with illness severity and clinical outcomes,so as to provide a theoretical basis for rational nutrition support of critically ill children.Methods All patients hospitalized in the pediatric intensive care unit of Beijing Children's Hospital from November,2010 to January 2011 were enrolled and studied prospectively.We collected anthropometric parameters (body length/height,body weight,head circumference,etc) for nutritional assessment,as well as their clinical data such as underlying diseases,pediatric risk of mortality scores (PRISM),length of hospital stay and mechanical ventilation duration.Results tn 196 cases,the prevalence of malnutrition was 21.9％ (43/196).Malnutrition group had greater PRISM scores,higher mechanical ventilation rate and a lower 28-day survival rate than normal nutritional status group (all P ＜ 0.05).Conclusions The prevalence of malnutrition on admission to the PICU was high and poor nutritional status indicated greater illness severity and adverse clinical outcomes
