消化系统疾病合并营养不良患儿的临床情况分析

Clinical Analysis of Children with Digestive System Disease Combined with Malnutrition

目的探讨消化系统疾病营养不良患儿的临床情况。方法采用回顾性研究方法,收集本院2014年消化系统疾病合并营养不良患儿的病例资料,进行归纳总结。结果 76例患儿中,重度营养不良患儿42例(55.3%),平均年龄10月,营养不良持续(334.1±361.7)d。轻度营养不良组的合并疾病,主要为涉及手术(66.7%)和内分泌系统(33.3%)。中度和重度营养不良组,主要为涉及手术(45.5%,73.3%)和呼吸系统疾病(36.4%,13.3%)。随着患儿营养不良程度的加重,超敏C反应蛋白(hs-CRP)水平逐渐增高,淋巴细胞、红细胞、血红蛋白、总蛋白和白蛋白水平逐渐下降。结论消化系统营养不良患儿年龄越小,同时合并手术和呼吸系统疾病,更易发生重度营养不良。

OBJECTIVE To investigate the clinical situation of children with digestive system disease combined with malnutrition. METHODS The data of children with digestive system disease combined with malnutrition in our hospital in 2014 were collected and analyzed using retrospective study method. RESULTS Of all 76 children, the average age of 42 children （55.3%） with severe malnutrition was 10 months, and the duration of malnutrition was（334.1±361.7） days.The mainly diseases in mild malnutrition group were concerned with operation （66.7%）, and endocrine system （33.3%）.The mainly diseases in moderate malnutrition group were concerned with operation （45.5%, 73.3% ） , and respiratory system （36.4%, 13.3% ）.With the aggravation of malnutrition in children, the level of hs-CRP increased.But the level of lymphocytes, red blood cells, hemoglobin, total protein and albumin gradually declined. CONCLUSION The factors of younger age, with diseases of operation and respiratory system are more prone to have severe malnutrition, for children with digestive system disease combined with malnutrition.