摘要
目的评价两种营养风险筛查表在普外科住院患儿中的应用效果,了解普外科住院患儿在住院期间营养状况的发展趋势,从而指导医务人员对住院患儿的营养干预工作,预测临床结局,以提高临床医护人员对患儿营养状况的重视,为选择普外科住院患儿营养风险筛查工具提供参考。方法应用上海新华医院在营养状况和生长发育风险筛查工具(Screening Tool for Risk of Nutrition Status and Growth,STRONGkids)和儿科营养不良筛查工具(Screening Tool for the Assessment of Malnutrition in Pediatrics,STAMP),在此基础上改良适合患儿的儿科营养风险筛查表,对2019年6—12月入住深圳市某医院普外科病房100例住院患儿进行筛查,应用世界卫生组织(WHO)生长标准评价住院患儿营养不良情况作为参照标准,对比两种营养风险筛查表的灵敏度和特异度。结果以WHO生长标准为依据,对比STAMP和STRONGkids灵敏度分别为40.15%、75.33%,特异度分别为51.34%、55.71%。结论STAMP和STRONGkids均可用于普外科住院患儿的营养风险筛查,STRONGkids特异度和敏感度更高,但没有包含客观评估内容。STAMP整体诊断正确率相对较高。
Objective To evaluate the application of two kinds of nutrition risk screening forms in hospitalized children of general surgery,to understand the development trend of the nutritional status of the children in hospital,so as to guide the nutritional intervention of the children in hospital and to predict the clinical outcome,so as to improve the attention of the clinical staff on the nutritional status of the children with diseases,and provide a reference for the selection of the nutritional risk screening form of the children in hospital.Methods Based on Screening Tool for Risk of Nutrition Status and Growth,STRONGkids and Screening Tool for the Assessment of Malnutrition in Pediatrics,STAMP by Shanghai Xinhua Hospital,to improve the pediatric nutrition risk screening table suitable for children.100 hospitalized children admitted to the general surgery ward of a hospital in Shenzhen from June to December 2019 were screened.The World Health Organization(WHO)growth standard was used to evaluate the malnutrition of hospitalized children as the reference standard.The results of the two nutrition risk screening tables were compared sensitivity and specificity.Results According to WHO growth standard,the sensitivity of STAMP and STRONGkids were 40.15%、75.33%,and the specificity were 51.34%、55.71%,respectively.Conclusion Both STAMP and STRONGkids can be used to screen the nutritional risk of hospitalized children.STRONGkids has higher specificity and sensitivity,but does not include objective assessment.The overall diagnostic accuracy of STAMP is relatively high.
作者
邹沙芹
段伟莉
周桂芬
吴宙光
王斌
ZOU Shaqin;DUAN Weili;ZHOU Guifen;WU Zhouguang;WANG Bin(General Ward of Shenzhen Children’s Hospital,Shenzhen 518000,China)
基金
2018年度深圳市卫健委“三名工程”资助项目(编号:SZSM201812055)。
关键词
儿童营养风险筛查
普外科
住院患儿
Children nutritional risk screening
General surgery
Hospitalized children
