Analysis Of Nutritional Status And Influenced Factors In PICU Children With Mechanical Ventilation

Objective: To understand the nutritional status of children with mechanical ventilation and to explore the influencing factors of nutritional status,so as to provide the basis for clinical reasonable nutrition support for children with mechanical ventilation.Methods: Thirty-six children with mechanical ventilation admitted to pediatric intensive care unit(PICU)and mechanical ventilation for more than 5 days from February 1,2017 to October 31,2017 were enrolled in this study.Twenty-six patients Children with mechanical ventilation were evaluated for malnutrition,nutritional risk screening,albumin(Alb)determination,mean calorie intake(EI)and fluid volume during mechanical ventilation,and Schofield-HTWT formula for measuring resting energy expenditure(MREE),The mean EI / MREE was used to determine the feeding status during mechanical ventilation.According to the mechanical ventilation time,the rats were divided into group A(5-16d)and group B(16-29d)for comparative analysis.Results: According to the retrospective analysis of 36 patients with mechanical ventilation who were enrolled in the study,there were 23 males and 13 females;the age was May(January-9);the duration of mechanical ventilation was 9.7 days(5.6-29 days)Time 33d(12-74d).Primary diseases include: central nervous system diseases(CNS infection,cerebral hemorrhage)in 15 cases;circulatory diseases(congenital heart disease,arrhythmia)in 12 cases;respiratory diseases(severe pneumonia,nasopharyngeal tumors)in 9 cases;mechanical 32 cases of inadequate feeding during ventilation,feeding the appropriate 3 cases,over feeding in 1 case.The incidence of malnutrition at admission was 36.1%,the incidence of malnutrition at ventilator withdrawal was 55.6%,with significant differences(P <0.05)and no malnutrition on admission to hospital with 23 new malnutrition when evacuated example.The nutrition risk screening rate was 75% on admission,the nutrition risk screening rate was 58.3% when the ventilator was evacuated,and the Alb was evidently lower when evacuated than on admission.There was no significant difference between the two groups(P> 0.05).The incidence of malnutrition was similar in group A and group B.The incidence of malnutrition in group B was significantly higher than that in group A when ventilator was evacuated.The detection rate of nutrition risk at admission and at discharge was in group B All higher than that in group A,the difference was not statistically significant(P> 0.05).The average caloric supply of children in group B was significantly lower than that in group A,and the duration of mechanical ventilation was longer in group A than in group A(P <0.05).The mean amount of fluid in group B was lower than that in group A,The proportions of three diseases in group B were different,but the above differences were not statistically significant(P> 0.05).Conclusion: Children with mechanical ventilation in PICU have a higher incidence of malnutrition and further worsening nutritional status during hospitalization,which may be related to the availability of heat,the duration of mechanical ventilation,the volume of fluid and the underlying disease.