International Journal of Nursing Research
International Journal of Nursing Research. 2026; 8: (5) ; 10.12208/j.ijnr.20260239 .
总浏览量: 76
广州医科大学附属妇女儿童医疗中心 广东广州
*通讯作者： 冯少娟,单位：广州医科大学附属妇女儿童医疗中心 广东广州; ；
目的 了解皮罗序列征患儿术前的喂养现状及营养状况，为针对性的喂养策略及营养支持提供依据。方法 采用自制的皮罗序列征患儿术前喂养现状调查表和营养状况和生长风险筛查工具（STRONG kids）对2024年10月至2025年10月在我院收治的53例皮罗序列征患儿进行喂养现状及营养状况调查。结果 经口喂养患儿中平均每次喂奶时间超过30 min者占57.1%；急、慢性营养不良发生率分别为50.9%和22.6%；中度、高度营养风险发生率分别为64.2%和35.8%。22例纯配方奶喂养患儿平均能量摄入为（359.56±53.64）kJ/（kg·d），仅45.5%达到推荐标准，其中0～月龄、1～月龄和3～月龄患儿能量摄入达标率分别为66.7%、45.5%和50.0%。患儿术前营养水平低于出生时[WAZ：（-2.19±1.42）比（-0.79±1.22），P＜0.001]。单因素分析显示，平均每次喂奶时间长、存在喂养困难及能量摄入密度低与更高的高度营养风险和更差的营养水平相关。结论 皮罗序列征患儿术前普遍存在喂养困难、能量摄入不足及较高的营养风险与营养不良发生率。应加强术前喂养评估、营养风险筛查和个体化营养支持，积极探索标准化围术期喂养管理方案，以改善患儿营养状况和临床结局。
Objective To understand the preoperative feeding status and nutritional status of children with Pierre Robin Sequence, providing a basis for targeted feeding strategies and nutritional support. Methods A self-designed preoperative feeding status questionnaire for children with Pierre Robin Sequence and Screening Tool for Risk On Nutritional status and Growth (STRONG kids) were used to investigate the feeding status and nutritional status of 53 children with Pierre Robin Sequence admitted to our hospital from October 2024 to October 2025. Results Among children receiving oral feeding, 57.1% had an average feeding time per session exceeding 30 minutes; the prevalence of acute and chronic malnutrition was 50.9% and 22.6%, respectively; the prevalence of moderate and high nutritional risk was 64.2% and 35.8%, respectively. The mean energy intake of 22 exclusively formula-fed children was (359.56±53.64) kJ/(kg·d), with only 45.5% meeting the recommended standards. The proportions meeting the recommended energy intake among children aged 0, 1, and 3 months were 66.7%, 45.5%, and 50.0%, respectively. Preoperative WAZ was significantly lower than at birth [WAZ: (-2.19±1.42) vs. (-0.79±1.22), P<0.001]. Univariate analysis showed that longer average feeding times, feeding difficulties, and low energy intake density were associated with higher nutritional risk and poorer nutritional status. Conclusion Preoperative feeding difficulties, insufficient energy intake, and a high nutritional risk and malnutrition are common in children with Pierre Robin Sequence. Preoperative feeding assessment, nutritional risk screening, and individualized nutritional support should be strengthened, and standardized perioperative feeding management protocols should be actively explored to improve the nutritional status and clinical outcomes of these children.
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