《中国康复理论与实践》

《中国康复理论与实践》 ›› 2014, Vol. 20 ›› Issue (12): 1150-1152.

• 临床研究 • 上一篇    下一篇

脑性瘫痪患儿营养状况与干预效果

李梅蕊1a，吴建敏1b，张红红1b，阎洁1a，陈巧玉1a，熊晨璐1a
   

  1. 云南省昆明市儿童医院，a.临床营养科；b.康复保健科，云南昆明市650028。
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2014-12-25 发布日期:2014-12-25

Nutritional Status and Intervention for Children with Cerebral Palsy

LI Mei-rui, WU Jian-min, ZHANG Hong-hong, YAN Jie, CHEN Qiao-yu, XIONG Chen-lu.
  

  1. Department of Clinical Nutrition, Kunming Children's Hospital, Kunming, Yunnan 650028, China
  • Received:1900-01-01 Revised:1900-01-01 Published:2014-12-25 Online:2014-12-25

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摘要： 目的探讨脑瘫患儿的微量元素、营养状况与营养性疾病的关系及其干预措施。方法对49 例脑瘫患儿及60 名健康儿童(对照组)进行体格测量，微量元素、血红蛋白、骨密度等测定，并进行摄食行为调查。对对于需要营养干预的患儿，由营养师确定目标体重后给予肠内营养剂干预。结果脑瘫患儿的营养不良发生率为48.97%，其中26.53%为低体重；其血清铁、锌均低于对照组，缺铁性贫血发生率为34.67%，与对照组比较有显著性差异(P<0.05)；骨密度低下率30.61%，与对照组无显著性差异(P>0.05)。44.9%存在摄食方面的问题。干预随访4 个月后，约50%患儿营养不良得到改善，以体重改善较为明显；88.2%贫血患儿得到治愈；50%患儿的骨密度提高至正常范围。结论脑瘫患儿存在较高的营养不良及营养性疾病发生率，综合营养干预是脑瘫患儿康复治疗的重要组成部分。

关键词: 脑性瘫痪, 营养, 微量元素, 干预

Abstract: Objective To investigate the condition of nutrition in child with cerebral palsy (CP) and the effect of nutritional intervention. Methods 49 CP children and other 60 health children (controls) were measured their bodies, hemoglobin, serum trace elements, and bone mineral density (with ultrasonic), and the feeding behavior was also investigated. Results The incidence of malnutrition was 48.97%, in which 26.53% for low weight. The levels of serum iron and zinc were poor in the CP children, and the incidence of iron deficiency anemia was 34.67% in the CP children, different from the controls (P<0.05), while the incidence of low bone mineral density was 30.61%, not significantly different from the controls (P>0.05). Feeding problems were found in 44.9% of CP children. About 50% of malnutrition was corrected, especially the body weight after 4 months of Intervention, with anemia corrected in 88.2%, and bone mineral density recovered in 50%. Conclusion It is a problem for many CP children with malnutrition and nutritional disorders, and need nutrition intervention as the content of the rehabilitation.

Key words: cerebral palsy, nutrition, trace elements, intervention