脑患者住院儿童营养评估和营养风险查之间的关系:单中心前性研究
Jixun Zhao1,2, Yuyang Qiu3, Junmeng Su4
1School of Public Health, the Key Laboratory of Environmental Pollution Monitoring and Disease Control, Ministry of Education, Guizhou Medical University, No.6, Ankang Avenue, GUI 'an New District, Guiyang, 561113, Guizhou, China.
Scientific reports
|July 28, 2025
概括
营养不良在患有脑 (CP) 的住院儿童中普遍存在,影响超过64%. 关键因素包括年龄,白蛋白水平和手动能力,突显了临床营养需要注意的需要.
科学领域:
- 儿童营养学 儿童营养学
- 临床营养学 临床营养学
- 儿童发展 儿童发展
背景情况:
- 大脑 (CP) 显著影响儿童的生长和发育.
- 患有CP的儿童面临营养不良的高风险.
- 有效的营养评估对这一群体至关重要.
研究的目的:
- 描述患有CP的住院儿童的营养状况.
- 评估四种营养风险查工具的有效性.
- 确定影响CP儿童营养不良的因素.
主要方法:
- 对91名患有CP的住院儿童进行回顾性分析.
- 使用Z分数和查工具评估营养状况.
- 多变量后勤回归用于识别独立的风险因素.
- 开发和验证营养不良的预测模型.
主要成果:
- 在研究队列中观察到营养不良的高患病率 (64.8%).
- 营养状况与总运动功能分类系统 (GMFCS) 和手动能力分类系统 (MACS) 等级相关,护理人员的关注和年龄.
- 与Z分数相比,评估的查工具的灵敏度和一致性较低.
- 老年,较低的白蛋白 (ALB) 度和MACS II级是营养不良的独立预测因素.
- 结合年龄,白蛋白,甘油三和MACS等级的预测模型显示出高预测值 (AUC:0.88).
结论:
- 住院患有CP的儿童表现出高水平的营养不良.
- 临床营养干预和警监测是必不可少的.
- 开发的预测模型为识别有风险的儿童提供了实际价值.
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