| 先天性心脏病儿童围手术期营养风险评估及影响因素分析 |
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| 引用本文： | 张湘云,张笃飞,陈茜茜,孙小玲,王雪妆,林鸿胜.先天性心脏病儿童围手术期营养风险评估及影响因素分析[J].华南预防医学,2023,49(1):14-18. |
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| 作者姓名： | 张湘云 张笃飞 陈茜茜 孙小玲 王雪妆 林鸿胜 |
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| 作者单位： | 1.海南省妇女儿童医学中心,海南 海口 570216;2.海口市第三人民医院,海南 海口 570216;3.海口市琼山区妇幼保健院,海南 海口 570216 |
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| 基金项目： | 海南省卫生健康行业科研项目 (20A200081) |
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| 摘 要： | 目的 评估先天性心脏病（CHD）儿童病例围手术期营养风险,并进一步分析其影响因素。方法 以2018年1月至2022年1月在海南省妇女儿童医学中心进行手术治疗的CHD儿童病例为研究对象,收集病史资料并采用STRONGkid完成围手术期营养风险评估。采用单、多因素分析方法分析影响CHD儿童病例围手术期发生营养风险的相关因素。结果 共1 006例CHD儿童完成围手术期营养风险评估。STRONGkid评估结果显示,CHD儿童病例围手术期中高营养风险发生率为43.94%。多因素Logistic回归分析结果显示,孕周<37周（OR=3.706）、家庭月均收入<5 000元（OR=2.875）、有肺动脉高压（OR=2.892）、有心力衰竭（OR=3.216）、复杂病种（OR=1.881）、前白蛋白<250 mg/L（OR=1.990）、25-（OH）D<30 nmol/L（OR=1.611）是CHD儿童围手术期发生营养风险的危险因素。结论 CHD儿童围手术期营养风险应引起重视,孕周、家庭经济情况、肺动脉高压、心力衰竭、复杂病种等成为该类儿童围手术期发生营养风险的可能影响因素。
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| 关 键 词： | 先天性心脏病 儿童 围手术期 营养风险 影响因素 |
| 收稿时间： | 2022-07-21 |
Perioperative nutritional risk assessment and influencing factors analysis in children with congenital heart disease |
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| ZHANG Xiang-yun,ZHANG Du-fei,CHEN Qian-qian,SUN Xiao-ling,WANG Xue-zhuang,LIN Hong-sheng.Perioperative nutritional risk assessment and influencing factors analysis in children with congenital heart disease[J].South China JOurnal of Preventive Medicine,2023,49(1):14-18. |
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| Authors: | ZHANG Xiang-yun ZHANG Du-fei CHEN Qian-qian SUN Xiao-ling WANG Xue-zhuang LIN Hong-sheng |
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| Affiliation: | 1. Hainan Women and Children's Medical Center, Haikou 570216, China;2. Haikou Third People's Hospital, Haikou 570216, China;3. Haikou Qiongshan District Maternal and Child Health Hospital, Haikou 570216, China |
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| Abstract: | Objective To evaluate the perioperative nutritional risk of children with congenital heart disease （CHD） and to analyze its influencing factors. Methods Children with CHD who underwent surgery in Hainan Women and Chidren's Medical Center from January 2018 to January 2022 were selected and their data of medical history were collected. The perioperative nutritional risk assessment was completed using STRONGkid. Univariate and multivariate analysis were done to analyze the related factors affecting the perioperative nutritional risk of children with CHD. Results A total of 1 006 children with CHD completed perioperative nutritional risk assessment. The STRONGkid evaluation results showed that the incidence of perioperative medium-high nutritional risk in children with CHD was 43.94%. The results of multivariate Logistic regression analysis showed that gestational age <37 weeks （OR=3.706）, average monthly family income <5 000 yuan （OR=2.875）, pulmonary hypertension （OR=2.892）, heart failure （OR=3.216）, complex diseases （OR=1.881）, prealbumin<250 mg/L （OR=1.990）, 25-（OH）D<30 nmol/L （OR=1.611） were the risk factors for perioperative nutritional risk in children with CHD. Conclusions Attention should be paid to perioperative nutritional risk of children with CHD. Gestational age, family economic status, pulmonary hypertension, heart failure, and complex diseases are the possible influencing factors of perioperative nutritional risk in children with CHD. |
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| Keywords: | Congenital heart disease Children Perioperative period Nutritional risk Influencing factor |
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