摘要
目的:调查高位小肠造口婴幼儿营养不良现状,并分析其影响因素。方法:选取2020年4月至2022年4月我院收治的80例高位小肠造口婴幼儿作为研究对象,通过问卷调查法采集患者一般资料及疾病相关信息,采用年龄别体重Z评分(WAZ)法评估患者营养状况,分析影响患儿营养状况的因素。结果:本组80例高位小肠造口婴幼儿中营养不良38例(47.50%)。Logistic回归分析显示,造口近端小肠长度、患儿喂养方式、小肠造口部位、高排量腹泻是患儿营养不良的独立影响因素,P<0.05。结论:高位小肠造口婴幼儿营养不良发生率高,临床工作中应尽量保留近端小肠长度,选择经口喂养方式,减少高排量腹泻,降低营养不良发生率;对于术前评估空肠造口者,积极予以营养干预,改善患儿营养状况。
Objective To investigate the present inanition of infantile undergoing stomy for high enteron,and to analyse its influence factors.Methods Enrolled 80 infantile patients undergoing stomy for high enteron in author’s hospital(2020-04-2022-04)into this study:through questionnaire to collect their common data and the related information to the disease,by using WAZ method to evaluate their nutriture,further to analyse the factors influencing the nutriture.Results In the 80 cases,38 suffered from inanition(47.50%);Logistic regression analysis showed the independent influence factors including enteron-length closed to stoma,feeding pattern,stoma site,and massive diarrhea,etc(P<0.05).Conclusion In the infantile undergoing stomy for high enteron the inanition has high incidence,thus clinically,it should be possible saving the length of exteron closed to stoma,selecting orally feeding,reducing massive diarrhea,decreasing the incidecne of inanition.For preoperatively evaluating jejunum-stomy,actively taking nutrition intervention on infantile,so as to improve their nutriture.
作者
王亚楠
WANG Ya-nan(Dept.of Pediatric Rehabilitation,Nanyang City's Central Hospital,Nanyang,Henan 473000)
出处
《中国肛肠病杂志》
2022年第11期56-58,共3页
Chinese Journal of Coloproctology
关键词
高位小肠造口
营养不良
影响因素
Stomy for high enteron
Inanition
Influence factor