[1]魏丽琼,岳 莉,李婷婷,等.住院患儿营养不良风险筛查及临床结局分析[J].医学信息,2025,38(06):113-117.[doi:10.3969/j.issn.1006-1959.2025.06.019]
　WEI Liqiong,YUE Li,LI Tingting,et al.Malnutrition Risk Screening and Clinical Outcome Analysis of Hospitalized Children[J].Journal of Medical Information,2025,38(06):113-117.[doi:10.3969/j.issn.1006-1959.2025.06.019]
点击复制

住院患儿营养不良风险筛查及临床结局分析()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
38卷
期数:
2025年06期
页码:
113-117
栏目:
论著
出版日期:
2025-03-15

文章信息/Info

Title:
Malnutrition Risk Screening and Clinical Outcome Analysis of Hospitalized Children
文章编号:
1006-1959（2025）06-0113-05
作者:
魏丽琼1; 岳 莉1; 李婷婷1; 朱 瑛1; 南 楠1; 郭金仙1; 陆丹丹1; 白文洁1; 陈奕铭2
甘肃省妇幼保健院/甘肃省中心医院儿童早期发展中心1，运营管理部2，甘肃 兰州 730050
Author(s):
WEI Liqiong1;  YUE Li1;  LI Tingting1;  ZHU Ying1;  NAN Nan1;  GUO Jinxian1;  LU Dandan1;  BAI Wenjie1;  CHEN Yiming2
Early Childhood Development Centre1, Operation Management Department2, Gansu Provincial Maternity and Child-care Hospital/Gansu Provincial Central Hospital, Lanzhou 730050, Gansu, China
关键词:
儿科营养不良风险筛查工具; 营养筛查; 营养不良风险; 住院儿童
Keywords:
Pediatric malnutrition risk screening tool;  Nutritional screening;  Malnutrition risk;  Hospitalized children
分类号:
R7221；R459.3
DOI:
10.3969/j.issn.1006-1959.2025.06.019
文献标志码:
A
摘要:
目的 应用更符合中国儿科特征的营养筛查工具评估住院儿童的营养不良风险，并为该工具在中国住院患儿中的推广及合理应用提供临床依据。方法 选取2023年6月-9月甘肃省妇幼保健院/甘肃省中心医院儿内、儿外及PICU的住院患儿作为研究对象，运用儿科营养筛查评分（PNSS）进行营养筛查，比较不同营养风险患儿的临床结局。结果 32.50%的住院患儿存在营养不良风险。不同科室营养不良风险发生率比较，差异有统计学意义（P＜0.05），其中PICU（59.19%）、小儿消化科（57.61%）、心脏大血管外科（51.43%）存在营养不良风险的患儿比例较高。不同年龄组住院患儿的营养不良风险比较，差异有统计学意义（P＜0.05），其中0~1岁组患儿的营养不良风险发生率为39.79%，高于其他年龄组；有营养不良风险的患儿住院天数及住院费用均高于无营养不良风险的患儿，且其疾病好转率低于无营养不良风险的患儿，差异有统计学意义（P＜0.05）。结论 新型儿科营养筛查工具能有效识别住院患儿发生营养不良的风险并预测临床结局，适用于临床实践。
Abstract:
Objective To assess the risk of malnutrition in hospitalized children using a nutritional screening tool that meets the characteristics of pediatrics in China, and to provide clinical evidence for the promotion and rational application of this tool in hospitalized children in China. Methods From June to September 2023, hospitalized children in Gansu Provincial Maternity and Child-care Hospital/Gansu Provincial Central Hospital and PICU were selected as the research objects. Pediatric Nutrition Screening Score (PNSS) was used for nutritional screening, and the clinical outcomes of children with different nutritional risks were compared. Results Totally 32.50% of the hospitalized children had the risk of malnutrition. There was a statistically significant difference in the incidence of malnutrition risk among different departments (P<0.05), among them, PICU (59.19%), pediatric digestive department (57.61%), and cardiac and vascular surgery (51.43%) had a higher proportion of children with malnutrition risk. There was a statistically significant difference in the risk of malnutrition among hospitalized children with different age groups (P<0.05); the incidence of malnutrition risk in children aged 0-1 years was 39.79%, which was higher than that in other age groups; the hospitalization days and hospitalization expenses of children with malnutrition risk were higher than those of children without malnutrition risk, and the disease improvement rate was lower than that of children without malnutrition risk, the difference was statistically significant (P<0.05). Conclusion The new pediatric nutrition screening tool can effectively identify the risk of malnutrition in hospitalized children and predict clinical outcomes, which is suitable for clinical practice.

参考文献/References:

[1]Joosten KF,Zwart H,Hop WC,et al.National malnutrition screening days in hospitalized children in the Netherlands[J].Archives of Disease in Childhood,2010,95:141-145.[2]Wang YJ,Zhou HJ,Liu PJ,et al.Risks of undernutrition and malnutrition in hospitalized pediatric patients with spinal cord injury[J].Spinal Cord,2017,55:247-254.[3]李心仪,黄晟,周洪敏,等.改良儿科营养风险筛查工具的临床应用[J].中国当代儿科杂志,2021,23(2):186-191.[4]彭玉娇,毛孝容,陈秋蓉,等.361例住院癌症患儿营养风险筛查及营养状况评价[J].现代临床医学,2023,49(4):260-263,271.[5]Saengnipanthkul S,Chongviriyaphan N,Densupsoontorn N,et al.Hospital-acquired malnutrition in paediatric patients:a multicentre trial focusing on prevalence,risk factors,and impact on clinical outcomes[J].European Journal of Pediatrics,2021,180:1761-1767.[6]Taipa-Mendes AM,Amaral TF,Gregório M.Undernutrition risk and nutritional screening implementation in hospitals:Barriers and time trends (2019-2020)[J].Clinical Nutrition ESPEN,2021,45:192-199.[7]Kondrup J,Allison SP,Elia M,et al.ESPEN guidelines for nutrition screening 2002[J].Clinical Nutrition,2003,22(4):415-421.[8]Ztürk ME,Ayhan NY.Evaluation of malnutrition and screening tools in hospitalized children[J].Clinical Nutrition ESPEN,2023,57:165-170.[9]Reed M,Mullaney K,Ruhmann C,et al.Screening Tool for the Assessment of Malnutrition in Pediatrics (STAMP) in the Electronic Health Record:A Validation Study[J].Nutrition in Clinical Practice,2020,35:1087-1093.[10]黄艳,仇安云,潘键.STRONGkids营养风险筛查量表在消化科住院患儿中的应用[J].肠外与肠内营养,2019,26(2):95-98.[11]李凌燕,林莹,苟芸,等. STRONGkids、PYMS与STAMP在烧伤住院患儿营养风险筛查中的比较研究[J].营养学报, 2022,44(4):377-383.[12]Spyridoula G,Michael D,Corinne L,et al.The Role of the Pediatric Yorkhill Malnutrition Score (PYMS),Neutrophil-to-Lymphocyte and Platelet-to-Lymphocyte Ratios in Malnutrition Prediction of Hospitalized Children[J].Children (Basel),2022,9:1378-1392.[13]陆丽娜.住院儿童营养筛查工具的建立、评估和应用[D].上海:上海交通大学,2016.[14]Marília F,Viana A,Juliana MS,et al.Hospital-acquired undernutrition and associated factors in children and adolescents admitted to a tertiary care hospital[J].Journal of Human Nutrition and Dietetics,2022,36(4):1359-1367.[15]Cederholm T,Barazzoni R,Austin P,et al.ESPEN guidelines on definitions and terminology of clinical nutrition[J].Clinical Nutrition,2017,36:49-64.[16]Palmer M,Hill J,Hosking B,et al.Quality of nutritional care provided to patients who develop hospital acquired malnutrition:a study across five Australian public hospitals[J].Journal of Human Nutrition and Dietetics,2021,34(4):695-704.[17]Hulst JM,Zwart H,Hop WC,et al.Dutch national survey to test the STRONGkids nutritional risk screening tool in hospitalized children[J].Clinical Nutrition,2010,29:106-110.[18]谢琪,洪莉,林媛,等.儿科住院患者营养状况及营养风险调查[J].临床儿科杂志,2013,31(8):748-751.[19]盛金叶,茅晓蒙,陆丽娜,等.住院儿童应用改良儿科营养不良风险筛查工具的临床评价[J].中国实用儿科杂志,2018,33(4):281-285.[20]Schuetz P,Fehr R,Baechli V,et al.Individualised nutritional support in medical inpatients at nutritional risk: a randomised clinical trial[J].Lancet (London, England),2019,393(10188):2312-2321. [21]Hersberger L,Dietz A,Bürgler H,et al.Individualized Nutritional Support for Hospitalized Patients With Chronic Heart Failure[J].Randomized Controlled Trial,2021,77(18):2307-2319.[22]谭田,邓亚萍,孔粼.流行性乙型脑炎住院儿童的营养不良风险筛查及相关临床结局分析[J].重庆医学,2023,52(17):2582-2585.[23]Lochs H,Allison SP,Meier R,et al.Introductory to the ESPEN Guidelines on Enteral Nutrition: Terminology, definitions and general topics[J].Clinical Nutrition,2006,25(2):180-186.[24]Cederholm T,Bosaeus I,Barazzoni R,et al.Diagnostic criteria for malnutrition - An ESPEN Consensus Statement[J].Clinical Nutrition,2015,34(3):335-340.

更新日期/Last Update: 1900-01-01