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目的:调查全结肠型巨结肠根治术后病儿的中、远期营养状况。方法:对11例全结肠型巨结肠病儿进行随访,测量其身高、体重、头围、胸围、上臂中点围和皮皱厚度等体格指标,并进行营养评估。调查当天抽取病儿空腹静脉血,行血常规、肝功能、肾功能、血脂和微量元素等指标的检测。随诊内容还包括病儿膳食情况的调查。结果:病儿的年龄别体重中位数百分比为(82.6±9.0)%,年龄别身高中位数百分比为(94.4±4.2)%,身高别体重中位数百分比为(94.7±5.0)%,BMI中位数百分比为(92.4±4.9)%,头围中位数百分比为(97.5±3.1)%,胸围中位数百分比为(95.9±2.3)%,上臂中点围中位数百分比(89.9±6.0)%,皮皱厚度之和百分比中位数(119.0±25.6)%。多数实验室指标均在正常范围内,近一半病儿血锌水平偏低。膳食调查发现,大部分病儿饮食结构基本均衡,但对海产品耐受较差。结论:全结肠型巨结肠根治术后病儿生长发育接近同龄正常儿童平均水平,体重不足较身高落后更多见。实验室检查整体较满意。
Objective: To investigate the medium and long-term nutritional status of children with total colon type Hirschsprung’s disease. Methods: Eleven patients with Hirschsprung ’s disease were followed up and their physical parameters such as height, weight, head circumference, chest circumference, midpoint of upper arm and thickness of dermatome were measured and their nutritional status was evaluated. On the day of investigation, the fasting venous blood of sick children was taken and tested for blood routine, liver function, renal function, blood lipid and trace elements. Follow-up content also includes the sick child’s diet survey. Results: The age-specific weight median percentage of sick children was (82.6 ± 9.0)%, the age-specific percentage was (94.4 ± 4.2)%, the height-specific weight median percentage was (94.7 ± 5.0)%, The median percentage of BMI was (92.4 ± 4.9)%, the median of head circumference was (97.5 ± 3.1)%, the median percentage of bust was (95.9 ± 2.3)%, the median percentage of upper midpoint was ± 6.0%), and the median percentage of the sum of the thickness of dermatome (119.0 ± 25.6)%. Most laboratory indicators are in the normal range, nearly half of children’s blood zinc level is low. Dietary survey found that most children sick children diet basically balanced, but less tolerant of seafood. Conclusion: The growth and development of sick children after radical colonoscopic radical gastrectomy are close to the average level of normal children of the same age. Laboratory examination overall satisfaction.