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王军, 李梦月, 朱登纳, 杜江华, 郎永斌, 童培. 脑瘫患儿营养状况及其生活质量的横断面研究[J]. 中国妇幼卫生杂志, 2018, 9(2): 31-35.
引用本文: 王军, 李梦月, 朱登纳, 杜江华, 郎永斌, 童培. 脑瘫患儿营养状况及其生活质量的横断面研究[J]. 中国妇幼卫生杂志, 2018, 9(2): 31-35.
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WANG Jun, LI Meng Yue, ZHU Deng Na, DU Jiang Hua, LANG Yong Bin, TONG Pei. Nutritional status and quality of life of children with cerebral palsy: a cross-sectional study[J]. CHINESE JOURNAL OF WOMEN AND CHILDREN HEALTH, 2018, 9(2): 31-35.
Citation: WANG Jun, LI Meng Yue, ZHU Deng Na, DU Jiang Hua, LANG Yong Bin, TONG Pei. Nutritional status and quality of life of children with cerebral palsy: a cross-sectional study[J]. CHINESE JOURNAL OF WOMEN AND CHILDREN HEALTH, 2018, 9(2): 31-35.
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脑瘫患儿营养状况及其生活质量的横断面研究

Nutritional status and quality of life of children with cerebral palsy: a cross-sectional study

    摘要
  • 摘要: 目的 了解脑瘫患儿营养状况,分析相关影响因素,并探讨营养状况与脑瘫患儿生活质量的关系。方法 采用横断面研究,利用自行设计的调查表对2016年4月-2017年4月在郑州大学第三附属医院康复治疗的2~5岁的脑瘫患儿进行调查,中文版PedsQLTM4.0普适性核心量表评估其生活质量,并进行体格测量评估营养状况。用Logistic回归分析方法对影响脑瘫患儿营养的相关因素进行分析,并比较不同营养状况脑瘫患儿生活质量的差异。结果 共完成219例有效调查问卷,脑瘫患儿中低体重、生长迟缓、消瘦及超重或肥胖率分别为31.5%、39.7%、21.9%、8%;多因素二元Logistic回归分析示:粗大运动分级(GMFCS)水平OR=2.61,95%(1.324,3.209)、吞咽障碍OR=3.047,95%(1.408,6.593)、辅食添加(6月至1岁)OR=0.088,95%(0.03,0.254)、出生体重OR=0.516,95%(0.309,0.862)是影响营养状况的主要因素,其差异具有统计学意义(P<0.05);营养不良的脑瘫患儿整体生活质量、生理功能及社交功能两个维度得分低于营养正常的脑瘫患儿,差异具有统计学意义(P<0.01)。结论 营养不良在脑瘫患儿中发生率较高,吞咽障碍和GMFCS分级水平是营养不良的危险因素。脑瘫患儿的生活质量不容乐观,营养不良患儿生活质量低于营养良好者。临床工作中要重视脑瘫患儿的营养干预。

     

    Abstract: Objective To evaluate the nutritional status of children with cerebral palsy, to analyze the relevant influencing factors, and to explore the relationship between nutritional status and quality of life in children with cerebral palsy.Methods A cross-sectional study was conducted using a self-designed questionnaire to investigate the rehabilitation of 2-5 year old children with cerebral palsy from April 2016 to February 2017 at the Third Affiliated Hospital of Zhengzhou University. Chinese version of PedsQLTM4.0 universal core scale was used to assess the quality of life, and anthropometric measurements was used to assess their nutritional status. Logistic regression analysis was used to analyze the factors affecting the nutrition of children with cerebral palsy and to compare the differences in quality of life among children with different nutritional status.Results A total of 219 effective questionnaires were completed. The low weight, growth retardation, emaciation and the overweight or obesity incidence rates of the children with cerebral palsy were 31.5%, 39.7%, 21.9%, 8%. Multivariate logistic regression analysis showed that GMFCS gradeOR=2.61, 95% (1.324, 3.209), dysphagiaOR=3.047, 95% (1.408, 6.593), supplementation supplement (June to 1 year old)OR=0.588, 95% (0.309, 0.862) were the main factors affecting the nutritional status. The differences were significant (P< 0.05). The overall quality of life, physiological function and social function of children with malnutrition were lower than those with normal nutrition, and the difference was statistically significant (P< 0.01).Conclusion Malnutrition had a higher incidence in children with cerebral palsy. Dysphagia and GMFCS grading level were the risk factors for malnutrition. The quality of life in children with cerebral palsy is not optimistic. the malnutrition children with cerebral palsy have lower quality of life than those with good nutrition. Attention should be paid to the nutritional intervention of children with cerebral palsy in clinical work.

     

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