关键词: 营养风险评价工具, 营养风险, 营养不良, 危重症儿童

Abstract: Objective To investigate the nutritional risk and malnutrition occurrence,and to provide clinical basis for nutrition support in critically ill children. Method Nutritional risk screening tool STRONG kids was applied to 326 cases of critically ill children with nutritional risk screening,and physical measurement assessed children's nutritional status. Results All patient's assessments of nutritional risk screening were completed.The incidences of nutritional risk and malnutrition was 51.53% (168 cases)and 23.01% (75 cases) respectively.Digestive disease occurred with severe nutritional risk and malnutrition was far higher than other diseases (P<0.05).According to pediatric critical illness score(PCIS) criteria,three groups including extremely critical group (≤70 scores),critical group(71~80 scores),and non-critical group(81~100 scores) were recruited.The detection rate of nutritional risk in the extremely critical group was significantly higher than that in the other two groups(P<0.01). Conclusions Nutritional risk and malnutrition are common among critically ill children.STRONGkids is a valid tool and recommended for nutritional risk screening in critically ill children and early nutrition support.

Key words: nutritional risk screening tool, nutritional risk, malnutrition, critically ill children