危重患儿营养不良的评估

营养不良是较为常见的临床问题,一些危重患儿存在基础疾病,机体代谢率增高,营养不良发生率较普通患儿更高.营养不良在一定程度上可降低危重患儿机体免疫力,增加感染风险及并发症,延长病程,影响疾病转归,增加病死率.尽早对危重患儿进行有效营养评估,及时发现其营养不良状态,早期指导临床营养支持方式,可促进病情恢复,改善疾病预后.目前国内外营养评估主要是从体格测量、实验室检查及营养风险筛查等几个方面进行,但不同营养评估方法各有其适应性及优缺点.

Assessment of malnutrition for critically ill children

Malnutrition is a relatively common clinical problem.Some critically ill children have basic diseases,which lead to the increase of body metabolic rate.As a result,the incidence of malnutrition is higher than that of ordinary children.Malnutrition could decrease the immunity of critically ill children and increase the risk of infection and complications,then may prolong hospitalized course,affect prognosis,and increase mortality.Effective assessment of the nutritional starus of critically ill children as early as possible,detection of the malnutrition state timely,and conduction of clinical nutrition support ways,would promote the recovery of disease,and improve the prognosis.Currently international nutritional assessment methods consist of physical measurements,laboratory examination and nutritional risk screening.However,different nutrition assessment methods have different adaptability,as well as advantages and disadvantages.