营养素干预对小儿肺炎患者营养状况及结局的影响

Effect of Nutrient on Nutritional Status and Outcome of Children with Pneumonia

目的通过肺炎患儿营养素水平分析及干预,探讨营养素对肺炎患儿营养状况及结局的影响。方法将肺炎患儿中存在营养素缺乏的患儿随机平均分为干预组及未干预组。同期随机抽取儿保门诊健康同龄儿作为对照。测定血清钙、铁、镁、锌、25-羟基维生素D含量,并对干预组进行相应干预。比较血清维生素及微量元素含量及肺炎患儿平均住院时间的差异。结果肺炎组血清锌、铁、维生素A含量显著低于对照组。干预组干预后血清锌、铁、维生素A显著增高。未干预组平均住院时间显著长于干预组与营养素水平正常组;干预组平均住院时间与营养素水平正常组比较,差异无统计学意义。结论临床中可通过营养素干预,改善小儿肺炎疗效,缩短肺炎平均住院时间。

Objective To explore the impact of nutrient intervention on nutritional status and outcome of children with pneumonia.Methods All 120 children with pneumonia were enrolled in the study.We examined the lack rates and the value of serum zinc,calcium,magnesium,iron,vitamin A and vitamin D.Their levels were intervened.A a statistical analysis was conducted.Results The lack rates of iron,zinc,and vitamin A were significantly higher than those of the control group.The difference of the value of serum zinc,iron,and vitamin A was significant between the pneumonia group and the control group.The difference of the value of serum zinc,iron,and vitamin A in intervention group had statistical significance,as compared with the non-intervention group.The former was significantly higher than the latter.The course of treatment was longer in the non-intervention group than that of the intervention group and children with normal level nutrient.Conclusion Nutrient intervention can improve the curative effect of pneumonia,shorten course in clinical work.