婴幼儿肺炎的营养风险调查

Investigation on nutritional risk in infantile pneumonia

目的评估婴幼儿肺炎的营养风险,探讨其在婴幼儿肺炎中的应用价值。方法选取2016年1~4月入住厦门市妇幼保健院儿内科的402例婴幼儿肺炎患儿为研究对象,按儿科营养不良筛查工具(STAMP评分)进行营养风险评估,并根据STAMP评分,分为低度营养风险组(0~1分)、中度营养风险组(2~3分)和高度营养风险组(4~9分),分析三组与患儿性别、住院时间、医院内感染、住儿童重症监护病房(PICU)时间、机械通气治疗的关系。结果根据STAMP评分,低度营养风险组60例(14.93%),中度营养风险组277例(68.91%),重度营养风险组65例(16.17%)。三组在性别比较差异无统计学意义(P>0.05),在住院时间、医院内感染发生率、住PICU时间及机械通气率方面,差异均有统计学意义(P<0.05)。结论婴幼儿肺炎中高度营养风险组对临床结局有不良影响,采用STAMP评分可以筛查出需要营养支持的患儿,尽早予以营养支持治疗,最终改善患儿的临床结局。

Objective To evaluate the nutritional risk in infantile pneumonia,and to investigate its application value in infantile pneumonia. Methods A total of 402 cases of infantile pneumonia admitted to our hospital from January to April 2016 were selected as the research subjects. The nutritional risk evaluation was conducted according to the Tool for the Assessment of Malnutrition in Pediatrics （STAMP） . The subjects were divided into the low nutritional risk group （0- 1 point ）, medium nutritional risk group（2-3 points ） and high nutritional risk group（4-9 points ） based on the STAMP scores. The relationship among gen der,hospital stay,nosocomial infection,PICU stay and mechanical ventilation in 3 groups was analyzed. Results According to the STAMP scores, 60 cases （14.93%） were in the low nutritional risk group, 277 cases （68.91%） were in the medium nutritional risk group and 65 cases（ 16.17% ） were in the severe nutritional risk group. The gender had no statistical difference among the three groups ,while hospital stay,nosoeomial infection, PICU stay and mechanical ventilation had statistical difference among 3 groups（P〈0.05）. Conclusions The high nutritional risk in infantile pneumonia has an adverse influence on clinical outcomes. Adopting the STAMP scoring can screen out the infantile patients needing the nutritional support for giving nutritional support as early as possible and finally improving the clinical outcome.