营养风险筛查在儿童重症肺部感染中的应用效果

摘要：目的 探讨营养风险筛查在重症肺部感染患儿中的应用效果。方法 选取2017年10月至2018年6月于我院接受重症肺部感染治疗的患者76例，根据儿科营养不良评估筛查工具（STAMP）评分将患者分为高度营养风险组（H组，10例）、中度营养风险组（M组，24例）和低度营养风险组（L组，42例）。观察比较各组患者的一般资料和不良临床情况。结果 各组患者的一般资料，如性别、年龄、及母乳喂养情况的差异无统计学差异性（p>0.05）。H组的平均住院时间比L组和M组长，并发症发生率比其他两组高，差异具有统计学意义（p<0.05）。结论 营养风险筛查对重症肺部感染患儿有较好的应用效果，改善患者不良临床情况。

关键词：营养风险筛查;重症肺部感染;营养支持

Effect of nutritional risk screening in children with severe

pulmonary infection

Yu Shaojun

YUYAO PEOPLES HOSPITAL OF ZHEJIANG PROVINCE

[Abstract] Objective To investigate the effect of nutrition risk screening in children with severe pulmonary infection.Methods From October 2017 to June 2018，76 patients were treated in our hospital with severe pulmonary infection.The patients were divided into high nutritional risk group（n = 10）and moderate nutritional risk group（n = 24）according to the assessment and screening tool of paediatric malnutrition. And there are42 cases in low nutritional risk group. The general data and bad clinical situation were observed and compared in each group.Results There was no significant difference in general data，such as sex，ageand breast feeding.The average length of hospitalization in group H was higher than that in group L and M，and the incidence of complications in group H was higher than that in the other two groups（P < 0.05）.Conclusion Nutritional risk screening has a good effect on children with severe pulmonary infection and improves the poor clinical situation.

[Key words] Nutrition risk screening;Severe pulmonary infection;Nutritional support

肺炎為儿科临床常见疾病，该病是指终末气道、肺间质与肺泡间炎症，可由免疫损伤、药物、过敏及疾病微生物等多种原因引发，分为轻症肺部感染和重症肺部感染，其中重症肺部感染发病较急，并发症多，严重影响儿童生命，在儿童特别是婴幼儿中致死率极高[1～2]。随着医学方面的发展，临床医师认识到，除了疾病本身对患者有影响之外，预后的营养支持治疗也极为重要，合理适度的营养治疗可以改善患者营养状态和临床效果[3]。因此，对重症肺部感染患者要及时实施营养风险筛查，进而对其进行合理的营养干预，是在临床上改善重症肺部感染患者预后较为有效的方法。目前没有公认的营养风险筛查工具，故本研究使用儿科营养不良评估筛查工具（Screening Tool for the Assessment of Malnutrition in Paediatrics，STAMP）研究重症肺部感染患者的营养风险发生情况，以便为合理应用营养支持提供一定的理论依据[4]。