ISSN 1674-3865  CN 21-1569/R
主管：国家卫生健康委员会
主办：中国医师协会
　　　辽宁省基础医学研究所
　　　辽宁中医药大学附属医院
中国中西医结合儿科学

中国中西医结合儿科学 ›› 2016, Vol. 8 ›› Issue (5): 483-486.doi: 10.3969/j.issn.167-43865.2016.05.007

• 临床论著 • 上一篇    下一篇

个体化营养管理在脑性瘫痪患儿中的应用

李素云,刘振寰,金炳旭,刘少兰,李诺,梁碧琪   

  1. 528200 广东 佛山，佛山市南海区妇幼保健院儿童神经康复科
  • 出版日期:2016-10-25 发布日期:2017-12-08
  • 通讯作者: 刘振寰，E-mail：Lzh1958424@163.com
  • 作者简介:李素云(1981-)，女，医学硕士，主治医师。研究方向：小儿神经系统疾病的诊断与治疗
  • 基金资助:
    佛山市医学科研基金资助(2015034)

Individualized nutritional management for children with cerebral palsy

LI Suyun,LIU Zhenhuan,JIN Bingxu,LIU Shaolan,LI Nuo,LIANG Biqi   

  1. Nanhai Maternity and Children′s Hospital,Foshan 528200,China.
  • Online:2016-10-25 Published:2017-12-08

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176

摘要：
目的：观察个体化营养管理对脑性瘫痪（简称脑瘫）患儿的影响。
方法：对37例脑瘫患儿建立营养管理档案及综合营养评价，进行为期3个月的个体化营养干预治疗，比较营养干预治疗前后年龄别身长(HAZ)、身长别体质量(WHZ)、年龄别体质量(WAZ)、年龄别体质量指数(BMIZ)等测量指标。
结果：37例患儿中消瘦率为43%，生长迟缓率为38%，低体质量率为30%。根据WHZ值将患儿分为营养良好组、轻度营养不良组及中-重度营养不良组。干预治疗后，营养良好组WHZ(0.4±0.8)及BMIZ(0.6±0.8)均较治疗前提高，差异有统计学意义(P<0.05)；轻度营养不良组及中-重度营养不良组WHZ(-0.8±0.6；-1.5±1.0)、WAZ(-1.6±0.9；-2.4±1.0)及BMIZ(-0.7±0.7；-1.1±0.9)均较治疗前提高，差异均有统计学意义(P<0.05)。
结论：营养不良在脑瘫患儿中发生率高，个体化营养干预治疗可有效改善其近期营养状况。

关键词: 脑性瘫痪, 营养不良, 营养评价, 营养管理, 儿童

Abstract:


Objective ：To explore the effects of individualized nutritional management on children with cerebral palsy.
Methods ：Nutrition management files were set up and the synthetic nutrition was evaluated in 37 children with cerebral palsy,who received individualized intervention for 3 months.Weight-for-length z score(WHZ),length-for-age z score(HAZ)，weight-for-age z score(WAZ),and body mass index-for-age z score(BMIZ) after the intervention were compared with those before the treatment.
Results： Among 37 cases,emaciation was in 43% of them,growth retardation 38% and low weight 30%.According to WHZ,all the children were divided into three groups normal nutrition group,mild malnutrition group and moderate-severe malnutrition group.After the individualized nutritional intervention,WHZ(0.4±0.8)and BMIZ(0.6±0.8)in normal nutrition group were significantly improved(P<0.05)；WHZ(-0.8±0.6；-1.5±1.0),WAZ(-1.6±0.9；-2.4±1.0) and BMIZ(-0.7±0.7；-1.1±0.9) in mild malnutrition group and moderate-severe malnutrition group were also improved(P<0.05)。
Conclusion ：There is high incidence of malnutrition in children with cerebral palsy;individualized nutritional management can effectively improve the nutritional status in the short term.

Key words: Cerebral palsy, Malnutrition, Nutritional assessment, Nutritional management, Child