牛犊周长可以补充儿童重症监护病房10岁以下儿童的营养评估
Rafaela Rodrigues Vieira1, Patrícia Zamberlan2
1ITACI - Hematology-Oncology Department, Instituto do Câncer do Estado de São Paulo, School of Medicine, University of São Paulo, São Paulo, Brazil.
Clinical nutrition ESPEN
|December 24, 2024
概括
牛犊周长 (CC) 显示了监测重症儿童的潜力.
科学领域:
- 儿科重症监护室的儿童重症监护室
- 营养评估 营养评估
- 人类测量学 人类测量学.
背景情况:
- 营养状况对于儿科重症监护患者至关重要.
- 中高臂周长 (MUAC) 用于营养评估,但有局限性.
- 牛犊周长 (CC) 是一种简单,廉价的人类测量方法,对于儿科患者来说,没有现有的参考值.
研究的目的:
- 评估小牛周长 (CC) 作为重症儿童和青少年营养监测的方法.
- 为了比较儿童重症监护室 (PICU) 入院的第一周内,CC的变化与中上臂周长 (MUAC) 的变化.
主要方法:
- 在入院后48小时内,并在7天后对103名儿科患者 (6个月至18岁) 进行人体测量 (MUAC和CC).
- 分析了MUAC和CC的百分比变化,并在年龄组 (<10岁和≥10岁) 之间进行了比较.
- 还评估了人口统计和结果数据.
主要成果:
- 在住院的第一周内,MUAC和CC都显著下降.
- 在总样本和10岁以下的儿童中观察到MUAC和CC的百分比变化之间的微弱正相关性,但在青少年中没有.
- 10岁以下的儿童显示,与MUAC相比,CC的减少更大,与青少年不同.
结论:
- 牛犊周长 (CC) 可以作为一种有价值的工具,用于在重症儿童中早期检测营养枯竭.
- 在PICU环境中,CC似乎比MUAC更敏感地反映了小孩子的营养变化.
- 需要进一步的研究来确定儿童重症监护室中CC的参考值.
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