关键词: 新生儿, 营养风险, 早产儿, 新生儿外科, Strongkids, 筛查工具

Abstract: Objective To discuss the application value of the latest Multi-Dimensional Nutritional Risk Screening Scale in neonatal pediatric inpatients by comparing with different nutritional scales. Methods A total of 86 neonatal patients treated in the neonatal ward of the Second Affiliated Hospital of Xi′an Jiaotong University were enrolled in this study from July 2017 to May 2018,and were divided into premature infant group and full-term infant group,as well as internal medicine group and surgical group.Multidimensional Neonatal Nutrition Risk Screening Scale and Strongkids were used to assess children from birth to 28 days each week. Results Totally 70.9% of neonates were at risk of malnutrition,and premature infants had a higher risk of malnutrition than full-term infants(χ²=6.542,P=0.010).Multidimensional Neonatal Risk Screening Scale assessment Resultsshowed that neonates with surgical diseases had a higher risk of malnutrition than those with internal medical diseases(χ²=15.816,P＜0.001).The sensitivity of Multidimensional Neonatal Nutrition Risk Screening Scale for screening the malnutrition of children with surgical disease was significantly higher than that of Strongkids(χ²=10.400,P=0.001). Conclusion Multidimensional Neonatal Malnutrition Risk Screening Scale has a better effect on neonatal malnutrition risk screening,especially for neonates with surgical diseases,which is more sensitive than traditional screening method and can be used for clinical assessment widely.

Key words: neonate, nutritional risk, premature infant, neonatal surgery, Strongkids, screening tools