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 ›› 2020, Vol. 12 ›› Issue (6): 515-.

• 临床研究 • 上一篇    下一篇

基于STRONGkids营养风险筛查的营养支持对普外科术后患儿营养状态及临床结局的影响

王冉冉,李娜   

  1. 450000 郑州,河南省人民医院小儿外科
  • 出版日期:2020-12-25 发布日期:2021-05-14
  • 通讯作者: 李娜,E-mail:wrrnxmk@163.com
  • 作者简介:王冉冉(1987-),女,主管护师。研究方向:小儿外科先天性胆总管扩张症护理
  • 基金资助:
    2016年度河南省医学科技攻关计划项目资助(201602216)

Effect of nutritional support based on STRONGkids nutritional risk screening on nutritional status and clinical outcome of children after general surgery

WANG Ranran,LI Na   

  1. Department of Pediatric Surgery, Henan Provincial People's Hospital, Zhengzhou 450000,China
  • Online:2020-12-25 Published:2021-05-14

摘要: 目的:探讨基于营养状况和生长风险筛查工具(STRONGkids)的营养支持对普外科术后患儿营养状态及临床结局的影响。
方法:选取2018年6月至2019年12月我科术后患儿131例为研究对象,随机分为对照组65例和观察组66例。对照组术后给予常规营养管理;观察组术后给予STRONGkids营养风险筛查的营养支持,对比干预效果。
结果:术后7 d及出院时观察组白蛋白、前白蛋白水平均显著高于对照组,差异有统计学意义(P<0.05);观察组肠外营养相关导管感染率、切口感染率、吻合口瘘发生率均低于对照组,差异有统计学意义(P<0.05)。
结论:STRONGkids营养风险筛查的营养支持可以改善普外科患儿术后的营养状态及临床结局。

关键词: 营养状态, STRONGkids营养风险筛查, 小儿普外科

Abstract: Objective:To explore the effect of nutritional support based on screening tool for risk on nutritional status and growth (STRONGkids) on nutritional status and clinical outcome of children after general surgery.
Methods:A total of 131 postoperative children receiving operations in our department from June 2018 to December 2019 were selected as the research subjects, and they were divided into 65 cases in the control group and 66 cases in the observation group using a random number table method. The control group was given routine nutritional management after the operation; the observation group was given the nutritional support of STRONGkids nutritional risk screening after the operation, and the intervention effects were compared.
Results:The levels of albumin (Albumin, Alb) and prealbumin(Prealbumin, PA) in the observation group were significantly higher than those in the control group at 7 days after surgery and at the time of discharge(P<0.05); the infection rate of parenteral nutrition(PN)-related catheters in the observation group was lower than that in the control group(P<0.05); the postoperative incision infection rate was significantly lower in observation group than in the control group(P<0.05); the incidence of anastomotic leakage was lower in observation group than in the control group(P<0.05).
Conclusion:Nutrition support of STRONGkids nutritional risk screening can improve the nutritional status and clinical outcome of postoperative children in general surgery department.

Key words: Nutritional status, STRONGkids nutritional risk screening, Pediatric general surgery