肺炎患儿营养状况153例分析

Analysis of nutritional status in 153 children with pneumonia

目的测定肺炎患儿血浆蛋白质及血红蛋白的水平,对患儿的营养状况进行初步分析。方法根据年龄将153例肺炎患儿分三组:<1岁年龄组;1~<3岁年龄组;3~12岁年龄组。对其血浆总蛋白、白蛋白、前白蛋白、视黄醇结合蛋白、血红蛋白进行检测。结果 153例肺炎患儿的低蛋白血症患病率为25%,<1岁年龄组患儿低蛋白血症患病率为41%,<3岁年龄组为15%,3~12岁年龄组为7%。<1岁年龄组患儿的低蛋白血症患病率高于3~12岁年龄组,差异有统计学意义(P<0.05)。1~<3岁年龄组患儿的低蛋白血症患病率高于3~12岁年龄组,但差异无统计学意义。153例肺炎患儿的贫血患病率为63%,<1岁年龄组患儿的贫血患病率为72%,<3岁年龄组为78%,3~12岁年龄组为28%。<1岁年龄组患儿的贫血患病率高于3~12岁年龄组,差异有统计学意义(P<0.05)。1~<3岁年龄组患儿的贫血患病率高于3~12岁年龄组,差异有统计学意义(P<0.05)。结论肺炎患儿中,婴幼儿的低蛋白血症及贫血的患病率较大年龄组高。因此,应尽早监测肺炎患儿尤其是婴幼儿营养状况变化,及时进行营养支持,以改善患儿预后。

Objective To measure the levels of serum proteins and hemoglobin in children with pneumonia,and to analyze the nutritional status in children. Methods A total of 153 children with pneumonia were divided into three groups matched by age：0 ～ 1 years old group; 1-〈3 years old group;3 - 12 years old group. The level of serum total protein（TP）, albumin（ALB）, prealbumin（PA）, retinol binding protein（RBP）, hemoglobin （HB） were measured. Results The total prev- alence of hypoproteinemia in children with pneumonia was 25 %. The prevalences of hypoproteinemia in 0～ 1 years old group, 1～ 3 years old group and 3 ～ 12 years old group were 41 %, 15 %, 7 % respectively. The prevalence of hypoproteinemia was significantly higher in 0～ 1 years old group than that in 3～ 12 years old group（P〈0.05）. There was no significant difference in the prevalence of hypoproteinemia between 1 ～ 〈3 years old group and 3 ～ 12 years old group. The total prevalence of anemia in children with pneumonia was 63 %. The prevalence of anemia in 0～ 1 years old group, 1 ～〈 3 years old group and 3 ～ 12 years old group were 72 %, 78 %, 28 % respectively. The prevalence of anemia was significantly higher in 0～ 1 years old group than that in 3 ～ 12 years old group（P〈0.05）. The prevalence of anemia was significantly higher in 1～ 〈13 years old group than that in 3～ 12 years old group （P〈0.05）. Conclusions The prevalence of hypoproteinemia and anemia in infants with pneumonia was higher than that in aged 3 ～ 12 years old children. Therefore, the nutritional status of children especially infants with pneumonia should be closely moni- tored, and proper nutritional support should be provided when necessary to improve the prognosis.