摘要: |
目的:了解北京儿童医院腹型过敏性紫癜(HSP)患儿住院期间营养支持现状。方法:收集2018 年6-10 月首都医科大学
附属北京儿童医院中医科腹型HSP 住院患儿共30 例,对患儿基本信息、住院期间饮食及营养元素的补充和调整方案进行整理
分析。结果:患儿采用的营养元素补充及饮食调整方案不一致,主要根据医师临床经验获得。在钙制剂、维生素、氨基酸的使用
方面,大多不符合现有指南推荐或尚无指南共识,具体表现为钙制剂没做到根据患儿年龄、激素使用情况进行个体化调整剂量,
维生素与核黄素重复用药,氨基酸用量不足等。结论:腹型HSP 患儿营养支持现状混乱,缺乏统一规范,应引起相关部门的
重视。 |
关键词: 儿童 腹型过敏性紫癜 营养支持 |
DOI:10.13407/j.cnki.jpp.1672-108X.2023.01.003 |
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基金项目:北京市自然科学基金资助项目,编号7212169 |
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Status of Nutritional Support in Hospitalized Children with Abdominal Henoch-Schönlein Purpura |
Zhang Yanju1, Shi Qing1, Wangying2, Yang Yan1 |
(1. National Center for Children’s Health, Beijing Children’s Hospital,Capital Medical University, Beijing 100045, China; 2. The Fifth Affiliated Hospital of Southern Medical University, Guangzhou 510900, China) |
Abstract: |
Objective: To understand and analyze the status of nutritional support for children with abdominal Henoch-Schönlein
purpura in Beijing Children’s Hospital, Capital Medical University. Methods: Thirty cases of abdominal purpura in Beijing children’s
hospital were collected and analyzed. Results: The nutritional element supplement and dietary adjustment program were not consistent in
children, mainly obtained from doctors’ clinical experience. In terms of the use of calcium preparations, vitamins and amino acids,
most of them do not meet the recommendations of the existing guidelines or there is no guideline or consensus. Specifically, the calcium
preparation did not modulate individually according to the age of children and the glucocorticoid usage, the vitamin and riboflavin were
reused, and the amount of amino acids is insufficient. Conclusion: Nutritional support in children with abdominal Henoch-Schönlein
purpura is disordered and lacks uniform norms |
Key words: children abdominal Henoch-Schönlein purpura nutritional support |