文章摘要
血液肿瘤住院患儿营养风险筛查及高度营养风险的危险因素分析*
Nutritional risk screening and risk factors of malnutrition in hospitalized children with hematological tumor*
投稿时间:2021-04-04  修订日期:2021-04-04
DOI:
中文关键词: 血液肿瘤  患儿  营养风险  筛查  危险因素
英文关键词: Hematologic tumors  Hospitalized children  Nutritional risk  Screening  Risk factors
基金项目:上海市卫生和计划生育委员会面上项目(201740144)
作者单位E-mail
韩茜 上海交通大学医学院附属上海儿童医学中心 hanxi1229@163.com 
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中文摘要:
      目的:筛查血液肿瘤住院患儿营养风险,并对其营养不良风险的危险因素进行分析。方法:选取2019年1月-2019年12月我院收治的的血液肿瘤住院患儿290例,采用自制问卷调查表,调查患儿的一般资料情况,采用欧洲肠外肠内营养协会推荐使用的儿科营养风险筛查工具(STAMP)评价患儿营养风险状况,采用单因素及多因素Logistic回归分析高度营养风险的危险因素。结果:依据STAMP评分标准,对研究对象290例患儿进行评价,高度营养风险的患儿247例,占比85.17%。中度营养风险的患儿43例,占比14.83%。低度营养风险患儿0例,占比0.00%。单因素分析结果显示,血液肿瘤住院患儿营养不良风险与年龄、化疗次数、肿瘤分期、总蛋白缺乏、血红蛋白缺乏有关(P<0.05),而与居住地、性别、肿瘤类型、家庭人均月收入、患儿监护人文化程度无关(P>0.05)。Logistic回归分析发现,年龄为1~3岁、化疗次数>5次、肿瘤分期为晚期、存在血红蛋白缺乏是血液肿瘤住院患儿高度营养风险的危险因素(P<0.05)。结论:血液肿瘤住院患儿存在较高比例的营养不良风险,且受年龄、化疗次数、肿瘤分期、血红蛋白缺乏等多种因素影响,临床可考虑针对此类群体进行营养筛查,并给予及时的干预,以改善血液肿瘤住院患儿的营养状况。
英文摘要:
      Objective: To screen the nutritional risk of hospitalized children with hematological tumor, and analyze the risk factors of malnutrition. Methods: A total of 290 hospitalized children with hematological tumor from January 2019 to December 2019 were selected, and self made questionnaire was used to investigate the general information of the children. The nutritional risk status of children was evaluated by the pediatric nutritional risk screening tool (STAMP) recommended by European parenteral and Enteral Nutrition Association. The risk factors of high nutritional risk were analyzed by univariate and multivariate logistic regression. Results: According to the STAMP score standard, 290 children were evaluated, 247 children with high nutritional risk, accounting for 85.17%. There were 43 children with moderate nutritional risk, accounting for 14.83%. There was no child with low nutritional risk, accounting for 0.00%. Univariate analysis showed that the risk of malnutrition was related to age, chemotherapy times, tumor stage, total protein deficiency and hemoglobin deficiency (P<0.05), but not related to residence, gender, tumor types, per capita monthly income of family and educational level of guardians of children (P>0.05). Logistic regression analysis showed that age of 1~3 years old, chemotherapy times > 5 times, tumor stage of later stage and hemoglobin deficiency were risk factors of malnutrition in hospitalized children with hematological tumor (P<0.05). Conclusion: Children hospitalized with hematologic tumors have a high proportion of malnutrition risk, and are affected by multiple factors such as age, chemotherapy times, tumor stage, hemoglobin deficiency, etc., so nutritional screening for this group can be considered clinically and timely intervention can be given to reduce the risk of malnutrition.
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