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目的探讨消化系统疾病营养不良患儿的临床情况。方法采用回顾性研究方法,收集本院2014年消化系统疾病合并营养不良患儿的病例资料,进行归纳总结。结果 76例患儿中,重度营养不良患儿42例(55.3%),平均年龄10月,营养不良持续(334.1±361.7)d。轻度营养不良组的合并疾病,主要为涉及手术(66.7%)和内分泌系统(33.3%)。中度和重度营养不良组,主要为涉及手术(45.5%,73.3%)和呼吸系统疾病(36.4%,13.3%)。随着患儿营养不良程度的加重,超敏C反应蛋白(hs-CRP)水平逐渐增高,淋巴细胞、红细胞、血红蛋白、总蛋白和白蛋白水平逐渐下降。结论消化系统营养不良患儿年龄越小,同时合并手术和呼吸系统疾病,更易发生重度营养不良。
Objective To investigate the clinical status of malnutrition children with digestive diseases. Methods A retrospective study was conducted to collect and summarize the data of cases of malnutrition in children with digestive diseases in 2014 in our hospital. Results Among 76 children, 42 (55.3%) with severe malnutrition had an average age of 10 months and malnutrition lasting (334.1 ± 361.7) days. Mild malnutrition group of combined diseases, mainly involving surgery (66.7%) and the endocrine system (33.3%). Moderate and severe malnutrition groups mainly involved surgery (45.5%, 73.3%) and respiratory diseases (36.4%, 13.3%). With the aggravation of malnutrition in children, the level of hs-CRP gradually increased, and the levels of lymphocyte, erythrocyte, hemoglobin, total protein and albumin decreased gradually. Conclusion The younger children with digestive malnutrition, combined with surgery and respiratory diseases, are more likely to have severe malnutrition.