[1]李莲叶,段颖杰,李广玉,等.PICU病儿营养风险现状及影响因素研究[J].肠外与肠内营养杂志,2025,(01):23-28.[doi:DOI : 10.16151/j.1007-810x.2025.01.004]
　LI Lian-ye,DUAN Ying-jie,LI Guang-yu,et al.Study on the current situation and influencing factors of nutritional riskin children in PICU[J].PARENTERAL & ENTERAL NUTRITION,2025,(01):23-28.[doi:DOI : 10.16151/j.1007-810x.2025.01.004]
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PICU病儿营养风险现状及影响因素研究()
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《肠外与肠内营养》杂志[ISSN:1007-810X/CN:32-1477/R]

卷:
期数:
2025年01期
页码:
23-28
栏目:
论著
出版日期:
2025-04-02

文章信息/Info

Title:
Study on the current situation and influencing factors of nutritional riskin children in PICU
作者:
李莲叶; 段颖杰; 李广玉; 李 奇; 毛 矛; 田 雨; 吕东雪; 张 薇; 刘新慧
国家儿童医学中心（北京），首都医科大学附属北京儿童医院重症医学科，北京 100045
Author(s):
LI Lian-ye;  DUAN Ying-jie;  LI Guang-yu;  LI Qi;  MAO Mao;  TIAN Yu;  L? Dong-xue; ZHANG Wei;  LIU Xin-hui
Department of Pediatric Intensive Care Unit, Beijing Children’s Hospital, Capital Medical University,National Center for Children’s Health, Beijing 100045,China
关键词:
营养风险 ; PICU ; 儿童 ; 影响因素分析
Keywords:
Nutritional risk;  PICU;  Children;  Influencing factors
分类号:
R459.3
DOI:
DOI : 10.16151/j.1007-810x.2025.01.004
文献标志码:
A
摘要:
目的：调查PICU病儿营养风险现状，并分析其影响因素。 方法：2021年7月至2023年2月，对所有入住北京儿童医院PICU的年龄在1岁至18岁的病儿，采用儿科Yorkhill营养不良评分工具(PYMS)和病儿临床资料调查表进行调查。 结果：共调查492例PICU病儿，首次营养风险筛查结果，无/低营养风险32例（占6.5%），中风险76例（占15.4%），高风险384例（占78.1%），中/高营养风险的发生率高达93.5%，营养风险PYMS评分为(2.61± 1.42)分，多元线性回归分析结果表明，病儿体质指数、入院前发热时间、白细胞、病儿主诊断、病儿生病前饮食量、病儿父亲学历等是PICU病儿营养风险的主要影响因素（P < 0.05）。 结论：PICU病儿处于营养高风险状态，建议PICU应规范开展营养筛查工作，早期识别营养高风险病儿及其影响因素，并积极进行营养评估和营养干预，以改善PICU病儿的临床结局。
Abstract:
Objective: To investigate the nutritional risk status of children in PICU and analyze its influencingfactors. Methods: From July 2021 to February 2023, all children aged 1 to 18 years admitted to PICU of BeijingChildren’s Hospital were investigated by using the pediatric Yorkhill Malnutrition Scoring tool (PYMS) and the clinicaldata questionnaire. Results: A total of 492 children in PICU were enrolled. The first nutritional risk screening resultsshowed that there were 32 cases of no/low nutritional risk (6.5%), 76 cases of medium risk (15.4%), and 384 cases ofhigh risk (78.1%). The incidence of medium/high nutritional risk was as high as 93.5%. The PYMS score of nutritionalrisk in PICU was (2.61 ± 1.42). The results of multiple linear regression analysis showed that weight, fever time beforeadmission, white blood cells, body mass index, primary diagnosis, father’s education, and diet before illness were themain influencing factors of nutritional risk of children in PICU (P < 0.05). Conclusion: Children in PICU are in a stateof high nutritional risk. It is suggested that children in PICU should carry out nutritional screening in a standardizedmanner, identify children with high nutritional risk and its influencing factors early. To actively conduct nutritionalassessment and nutritional intervention could improve the clinical outcome of children in PICU.

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备注/Memo

备注/Memo:
通讯作者 ：李莲叶，E-mail:llyxxsc@aliyun.com.基金项目 ：首都医科大学附属北京儿童医院儿科护理学研究专项(YHL202001) 首都医科大学附属北京儿童医院第三期（2022年）临床-科研复合型“苗圃”人才培养计划（编号3-1-014-01-20）
更新日期/Last Update: 1900-01-01