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

摘要： 目的 通过不同营养量表的对比,讨论最新的多维度营养风险筛查量表在新生儿病房住院患儿的应用价值。方法 选取2017年7月-2018年5月于西安交通大学第二附属医院新生儿病房治疗的患儿86例,分为早产儿和足月儿两组;所有入组患儿再次分为内科组与外科组。应用多维度新生儿营养风险筛查量表、Strongkids自出生开始每周分别对患儿进行评估至28 d。结果 通过多维度新生儿风险筛查量表得出发生营养不良风险患儿占70.9%,早产儿与足月儿相比存在更高的营养不良风险(χ²=6.542,P=0.010);多维度新生儿风险筛查量表提示外科疾病患儿与内科疾病患儿相比存在更高的营养不良风险(χ²=15.816,P<0.001);对于外科疾病新生儿,新生儿营养风险筛查量表敏感度较Strongkids高(χ²＝10.400,P＝0.001)。结论 多维度新生儿营养不良风险筛查量表对于新生儿营养不良风险筛查效果较好,特别针对于患有外科疾病的新生儿中较传统的筛查方式有着更高的敏感性,可用于临床推广。

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