[1]王静文,万园园,夏晓娜,等.漏斗胸病儿营养状况及膳食摄入情况调查研究[J].肠外与肠内营养杂志,2023,(06):363-367374.[doi:DOI : 10.16151/j.1007-810x.2023.06.008]
　WANG Jing-wen,WAN Yuan-yuan,XIA Xiao-na,et al.Investigation on nutritional status and dietary intake of children withpectus excavatum[J].PARENTERAL & ENTERAL NUTRITION,2023,(06):363-367374.[doi:DOI : 10.16151/j.1007-810x.2023.06.008]
点击复制

漏斗胸病儿营养状况及膳食摄入情况调查研究()
分享到：

《肠外与肠内营养》杂志[ISSN:1007-810X/CN:32-1477/R]

卷:
期数:
2023年06期
页码:
363-367374
栏目:
论著
出版日期:
2023-12-10

文章信息/Info

Title:
Investigation on nutritional status and dietary intake of children withpectus excavatum
作者:
王静文1; 万园园1; 夏晓娜1; 朱 亭1; 潘 键 1; 唐维兵1; 王 洋 2; 戚继荣2
南京医科大学附属儿童医院1.临床营养科；2.心胸外科，江苏南京 210008
Author(s):
WANG Jing-wen1;  WAN Yuan-yuan1;  XIA Xiao-na1;  ZHU Ting1;  PAN Jian1;  TANG Wei-bing1; WANG Yang2;  QI Ji-rong2
1.Department of Clinical Nutrition；2.Department of Cardiothoracic Surgery, Children’s Hospital ofNanjing Medical University, Nanjing 210008, Jiangsu, China
关键词:
漏斗胸 ; 营养 ; 膳食摄入
Keywords:
Pectus excavatum;  Nutrition;  Dietary intake
分类号:
R459.3
DOI:
DOI : 10.16151/j.1007-810x.2023.06.008
文献标志码:
A
摘要:
目的：明确漏斗胸病儿营养状况和膳食摄入情况与漏斗胸严重程度之间的关系，为漏斗胸围术期营养支持和出院后营养指导提供科学依据。 方法：收集 2022年 1月至 2023年 3月在南京医科大学附属儿童医院心胸外科就诊并在临床营养科进行营养管理的 62例漏斗胸病儿的基本资料、实验室检查、影像学检查以及膳食分析情况。 结果：62例漏斗胸病儿中存在营养不良 39人（62.9%），存在心肺功能受损的病儿有 43例（69.4%），心肺功能受损组 BMI和 BAZ明显低于正常组（P < 0.05），两组间身高无明显差异。心肺功能受损组每日能量摄入百分比明显低于正常组（P < 0.05），Haller指数明显高于正常组（P < 0.05）。相关性分析发现能量摄入百分比与 Haller指数负相关（r = -0.314，P = 0.032），BAZ值与 Haller指数负相关（r = -0.3，P = 0.032），BAZ值与能量摄入百分比正相关（r=0.29，P = 0.04），差异有统计学意义。 结论：大部分就诊的漏斗胸病儿存在能量摄入不足和营养不良，畸形程度越严重对膳食摄入和营养状况的影响越大。
Abstract:
Objective: To clarify the relationship between the nutritional status and dietary intake of children withpectus excavatum and the severity of pectus excavatum, and to provide scientific basis for nutritional support duringperioperative period and nutritional guidance after discharge. Methods: The clinical features, laboratory examination,imaging examination and dietary analysis were collected from 62 children with pectus excavatum who were admitted tothe department of cardiothoracic surgery and the department of clinical nutrition, Children’s Hospital of Nanjing MedicalUniversity, from January 2022 to March 2023 were retrospectively analyzed. Results: Among the 62 children withpectus excavatum, 39 (62.9%) had malnutrition, and 43 (69.4%) had impaired cardiopulmonary function. The BMI andBAZ of the group with impaired cardiopulmonary function were significantly lower than those of the normal group (P <0.05), and there was no significant difference in height between the two groups. The percentage of daily energy intake inthe impaired cardiopulmonary function group was significantly lower than that in the normal group (P < 0.05), and theHaller index was significantly higher than that in the normal group (P < 0.05). Correlation analysis showed thatpercentage of energy intake was negatively correlated with Haller index (r = -0.314，P = 0.032), BAZ value wasnegatively correlated with Haller index (r = -0.3, P = 0.032) and positively correlated with percentage of energy intake(r = 0.29, P = 0.04), the difference was statistically significant. Conclusion: Most children with pectus excavatumpresent insufficient energy intake and malnutrition. The severity of the deformity affects dietary intake and nutritionalstatus.

参考文献/References:


[1] Dean C, Etienne D, Hindson D, et al. Pectus excavatum (funnel chest): a historical and current prospective. Surg Radiol Anat.2012, 34(7):573-579.
[2] Park HJ, Kim JJ, Park JK, et al. A cross-sectional study for the development of growth of patients with pectus excavatum. Eur JCardiothorac Surg, 2016, 50(6):1102-1109.
[3] 中华医学会小儿外科学分会心胸外科学组, 广东省医师协会胸外科分会, 南京医科大学附属儿童医院, 等 . 漏斗胸外科治疗中国专家共识 . 中华小儿外科杂志, 2020, 41（1）:7-12.
[4] 谢 琪,洪 莉,林 媛,等 . 儿科住院患者营养状况及营养风险调查 . 临床儿科杂志,2013,31（8）:748-751.
[5] Becker P, Carney LN, Corkins MR, et al. Consensus statement ofthe Academy of Nutrition and Dietetics/American Society forParenteral and Enteral Nutrition: indicators recommended for theidentification and documentation of pediatric malnutrition(undernutrition) . Nutr Clin Pract, 2015, 30(1):147-161.
[6] Goretsky MJ, Kelly RE, Croitoru D, et al. Chest wall anomalies:pectus excavatum and pectus carinatum. Adolesc Med Clin, 2004,15(3):455-471.
[7] Chang PY, Zeng Q, Wong KS, et al. A Cross-Sectional Study ofChest Wall Development in Patients with Pectus Excavatum.Thorac Cardiovasc Surg, 2015, 63(5):433-436.
[8] Chang PY, Zeng Q, Wong KS, et al. Chest Wall Constriction afterthe Nuss Procedure Identified from Chest Radiograph andMultislice Computed Tomography Shortly after Removal of theBar. Thorac Cardiovasc Surg, 2016, 64(1):70-77.
[9] Protopapas AD, Athanasiou T. Peri-operative data on the Nussprocedure in children with pectus excavatum: independent surveyof the first 20 years’ data. J Cardiothorac Surg, 2008, 3:40.
[10] Stearns JD, Twaibu J, Kwaku D, et al. Efficacy of standard chestcompressions in patients with Nuss bars. J Thorac Dis, 2020, 12(8):4299-4306.
[11] 王 会, 刘 威, 苏芷惠, 等 . 漏斗胸住院患儿营养状况筛查及影响因素分析 . 中华实用儿科临床杂志,2019,34(18):1415-1417.
[12] Li H, Jin X, Fan S, et al. Behavioural disorders in children withpectus excavatum in China: a retrospective cohort study withpropensity score matching and risk prediction model. Eur JCardiothorac Surg, 2019, 56(3):596-603.
[13] Li H, Fan S, Kong X, et al. Academic performance in childrenwith pectus excavatum: a real-world research with propensityscore matching. Ther Adv Respir Dis, 2023, 17:17534666231155779.
[14] Dreher C, Reinsberg M, Oetzmann von Sochaczewski C, et al.Changes in Pulmonary Functions of Adolescents with PectusExcavatum Throughout the Nuss Procedure. J Pediatr Surg, 2023,58(9):1674-1678.
[15] Liu Q, Wang W, Hong C, et al. Effect of minimally invasiverepair of pectus excavatum on postoperative chest flatness,cardiopulmonary function, and bone metabolism indexes inchildren at different ages. Am J Transl Res, 2022, 14(6): 3955-3963.
[16] Márquez Costa MV, Alberici Pastore C. Nutritional screening toolversus anthropometric assessment in hospitalized children: whichmethod is better associated to clinical outcomes? . Arch LatinoamNutr, 2015, 65(1):12-20.
[17] 吴国豪 . 全面推进全程营养管理在外科中的应用 . 中华消化外科杂志, 2023, 22(11):1291-1294.
[18] 李 宁 . 加速康复外科治疗中的围手术期营养支持 . 肠外与肠内营养, 2008,15(2):65-67.
[19] McClave SA，Taylor BE，Martindale RG, et al. Guidelines for the provision and assessment of nutrition support therapy in the adult critically ill patient：Society of critical care medicine (SCCM) and American society for parenteral and enteral nutrition (A. S. P. E.N.)．JPEN J Parenter Enteral Nutr, 2016, 40(2)：159-211.

相似文献/References:

[1]郭 坤.饮食和营养治疗炎症性肠病[J].肠外与肠内营养杂志,2019,(01):18.[doi:10.16151/j.1007-810x.2019.01.008]
[2]李伟杰,吴秀文,郑 涛,等.全肠内营养在克罗恩病中的应用[J].肠外与肠内营养杂志,2019,(03):184.[doi:DOI : 10.16151/j.1007-810x.2019.03.012]
　LI Wei-jie,WU Xiu-wen,ZHENG Tao reviewing,et al.Application of Exclusive Enteral Nutrition in Crohn's Disease[J].PARENTERAL & ENTERAL NUTRITION,2019,(06):184.[doi:DOI : 10.16151/j.1007-810x.2019.03.012]
[3]刘 杰,胡 伟,吴建明,等.骨质疏松性椎体压缩骨折病人营养状态与PVP术后早期腰背部疼痛及功能相关性研究[J].肠外与肠内营养杂志,2020,(05):303.[doi:10.16151/j.1007-810x.2020.04.011]
　LIU Jie,HU Wei,WU Jian-Ming,et al.Study on the correlation between nutritional status and early back pain and function after PVP in patients with osteoporotic vertebral compression fracture[J].PARENTERAL & ENTERAL NUTRITION,2020,(06):303.[doi:10.16151/j.1007-810x.2020.04.011]
[4]唐密密,杜 洁,罗 平,等.新型冠状病毒肺炎病人营养中添加谷氨酰胺双肽可行性分析[J].肠外与肠内营养杂志,2021,(01):55.[doi:DOI : 10.16151/j.1007-810x.2021.01.013]
　TANG Mi-mi,DU Jie,LUO Ping,et al.Feasibility of adding glutamine dipeptide to nutrition in patients with novel coronavirus pneumonia[J].PARENTERAL & ENTERAL NUTRITION,2021,(06):55.[doi:DOI : 10.16151/j.1007-810x.2021.01.013]
[5]杨 翔,陈 敏,万文辉,等.肠内营养混悬液（TPF-DM）对超高龄2 型糖尿病病人营养、糖脂代谢及免疫功能的影响[J].肠外与肠内营养杂志,2021,(03):144.[doi:10.16151/j.1007-810x.2021.03.004]
　YANG Xiang,CHEN Min,WAN Wen-hui,et al.The effects of enteral nutritional suspension(TPF-DM) on nutrition, glucose and lipid metabolism and immune function in super aged patients with Type 2 diabetes mellitus[J].PARENTERAL & ENTERAL NUTRITION,2021,(06):144.[doi:10.16151/j.1007-810x.2021.03.004]
[6]田美玲,肖远革,马国娟,等.河北省产科专业医务人员营养知识-态度-行为调查分析[J].肠外与肠内营养杂志,2021,(03):157.[doi:10.16151/j.1007-810x.2021.03.007]
　TIAN Mei-ling,XIAO Yuan-ge,MA Guo-juan,et al.Investigation and analysis on nutritional knowledge,attitude and practice of medical staffs in the obstetric profession in Hebei province[J].PARENTERAL & ENTERAL NUTRITION,2021,(06):157.[doi:10.16151/j.1007-810x.2021.03.007]
[7]陈艺虹,姜明霞,王永红,等.重症肾脏病医护人员对营养风险筛查工具的认识及体验[J].肠外与肠内营养杂志,2022,(01):41.[doi:DOI : 10.16151/j.1007-810x.2022.01.008]
　CHEN Yi-hong,JIANG Ming-xia,WANG Yong-hong,et al.Analysis on understanding and experience of medical staff engaged in critical care nephrology towards nutritional risk screening tools[J].PARENTERAL & ENTERAL NUTRITION,2022,(06):41.[doi:DOI : 10.16151/j.1007-810x.2022.01.008]
[8]刘家欢,韩 雨,杨 洋,等.“H2H”营养管理模式对胃癌根治术后病人营养状况和生活质量的影响[J].肠外与肠内营养杂志,2022,(02):116.[doi:DOI : 10.16151/j.1007-810x.2022.02.011]
　LIU Jia-huan,HAN Yu,YANG Yang,et al."H2H" nutrition management mode on the nutritional status and quality of life of patients with gastric cancer after radical surgery[J].PARENTERAL & ENTERAL NUTRITION,2022,(06):116.[doi:DOI : 10.16151/j.1007-810x.2022.02.011]
[9]杨谨成,王黎明,李彩云,等.肿瘤医院肝胆外科住院病人营养现状调查及模型预测[J].肠外与肠内营养杂志,2022,(06):321.[doi:10.16151/j.1007-810x.2022.06.001]
　YANG Jin-cheng,WANG Li-ming,LI Cai-yun,et al.Survey of inpatients' nutrition and model prediction in hepatobiliary surgery of cancer hospital[J].PARENTERAL & ENTERAL NUTRITION,2022,(06):321.[doi:10.16151/j.1007-810x.2022.06.001]

备注/Memo

备注/Memo:
作者简介 ：王静文，主治医师，医学硕士研究生，从事儿童临床营养研究。E-mail：jingruo870923@163.com通讯作者 ：戚继荣，E-mail：qjr7@163.com
更新日期/Last Update: 1900-01-01