| 肖瑾,朱琳,陈思.先天性心脏病儿童 156例营养不良发生现状及影响因素分析[J].安徽医药,2025,29(1):83-86. |
| 先天性心脏病儿童 156例营养不良发生现状及影响因素分析 |
| Analysis of the prevalence and influencing factors of malnutrition in 156 children with congenital heart disease |
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| DOI：10.3969/j.issn.1009-6469.2025.01.016 |
| 中文关键词: 先天性心脏病 儿童 营养不良 营养状况 影响因素 |
| 英文关键词: Congenital heart disease Children Innutrition Nutritional status Influence factor |
| 基金项目:国家卫健委课题项目( WA2020HK06) |
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| 中文摘要: |
| 目的探讨先天性心脏病儿童营养不良发生现状及影响因素。方法选取陕西省森林工业职工医院 2019年 6月至 2022年 7月收治的 156例先天性心脏病病人，采用 Z评分法评估病人的营养状况。根据病人营养状况将其分为营养不良组和正常组，比较两组病人一般资料，采用多因素回归分析先天性心脏病病人营养不良的影响因素。结果 156例先天性心脏病病人中营养不良发生率为 58.97%，其中急性营养不良发生率为 26.92%，慢性营养不良发生率为 32.05%；营养不良组病情复杂占比( 57.61%比 34.37%)、家庭经济收入低占比( 45.65%比 21.88%)、母亲对疾病感知度不准确占比( 57.61%比 35.94%)、低出生体质量儿占比( 38.04%比 23.44%)、心脏增大占比(21.74%比 9.37%)、治疗前有症状占比(73.91%比 34.38%)、确诊时间 ≥1年占比( 68.48%比 29.69%)、住院次数 >4次占比( 33.70%比 12.50%)、感染占比( 70.65%比 29.69%)及来自农村占比(63.04%比 40.62%)均高于营养正常组(均 P<0.05)； logistic回归分析发现，病情复杂程度、家庭经济收入、出生体质量、确诊时间、住院次数及感染均是先天性心脏病病人发生营养不良的独立危险因素( P<0.05)。结论病情复杂程度、出生体质量、住院次数以及家庭来源均是先天性心脏病病人营养不良的独立危险因素。 |
| 英文摘要: |
| Objective To investigate the prevalence and influencing factors of malnutrition in children with congenital heart disease. Methods A total of 156 children with congenital heart disease admitted to Shaanxi Forest Industry Staff Hospital from June 2019 toJuly 2021 were selected. The nutritional status of children was evaluated with Z-score method, and they were divided into malnutritiongroup and normal group according to their nutritional status. The general data of the two groups of children were compared, and the in-fluencing factors of malnutrition in patients with congenital heart disease were analyzed by multivariate regression.Results The inci-dence of malnutrition in 156 children with congenital heart disease was 58.97%, including 26.92% of acute malnutrition and 30.05% ofchronic malnutrition. The proportion of patients with complex conditions in the malnutrition group (57.61% vs. 34.37%), the proportion of families with low economic income (45.65% vs. 21.88%), the proportion of mothers with inaccurate disease perception (57.61% vs. 35.94%), the proportion of low birth weight infants (38.04% vs. 23.44%), the proportion of heart enlargement (21.74% vs. 9.37%), the proportion of patients with symptoms before treatment (73.91% vs. 34.38%), the proportion of patients diagnosed ≥ 1 year (68.48% vs. 29.69%), the proportion of hospitalizations>4 times (33.70% vs. 12.50%), the proportion of infections (70.65% vs. 29.69%), and the pro-portion of patients from rural areas (63.04% vs. 40.62%) were higher than those in the normal nutrition group (P<0.05). There were sig-nificant differences in the complexity of the disease, family income, mother's perception of the disease, birth weight, heart size, whether there were symptoms before treatment, time of diagnosis, number of hospitalizations, whether there was infection, and family origin (P<0.05). Logistic regression analysis showed that the complexity of the condition, family economic income, birth weight, diagnosis time,hospitalization frequency, and infection were independent risk factors for malnutrition in children with congenital heart disease (P< 0.05).Conclusion The complexity of illness, birth weight, hospitalization times and family origin are independent risk factors for mal-nutrition in children with congenital heart disease. |
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