皮罗序列征患儿术前喂养现状及营养状况的调查研究-国际护理学研究-CSCIED科技核心评价数据库-手机版

皮罗序列征患儿术前喂养现状及营养状况的调查研究

A survey of preoperative feeding and nutritional status of children with Pierre Robin Sequence

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DOI	10.12208/j.ijnr.20260239
刊名	国际护理学研究 International Journal of Nursing Research
年，卷(期)	2026, 8(5)
作者	冯少娟, 何紫燕, 吕云霞, 魏润菁, 吴丽容, 杨佩珊,
作者单位	广州医科大学附属妇女儿童医疗中心广东广州;
摘要	目的了解皮罗序列征患儿术前的喂养现状及营养状况，为针对性的喂养策略及营养支持提供依据。方法采用自制的皮罗序列征患儿术前喂养现状调查表和营养状况和生长风险筛查工具（STRONG kids）对2024年10月至2025年10月在我院收治的53例皮罗序列征患儿进行喂养现状及营养状况调查。结果经口喂养患儿中平均每次喂奶时间超过30 min者占57.1%；急、慢性营养不良发生率分别为50.9%和22.6%；中度、高度营养风险发生率分别为64.2%和35.8%。22例纯配方奶喂养患儿平均能量摄入为（359.56±53.64）kJ/（kg·d），仅45.5%达到推荐标准，其中0～月龄、1～月龄和3～月龄患儿能量摄入达标率分别为66.7%、45.5%和50.0%。患儿术前营养水平低于出生时[WAZ：（-2.19±1.42）比（-0.79±1.22），P＜0.001]。单因素分析显示，平均每次喂奶时间长、存在喂养困难及能量摄入密度低与更高的高度营养风险和更差的营养水平相关。结论皮罗序列征患儿术前普遍存在喂养困难、能量摄入不足及较高的营养风险与营养不良发生率。应加强术前喂养评估、营养风险筛查和个体化营养支持，积极探索标准化围术期喂养管理方案，以改善患儿营养状况和临床结局。
Abstract	Objective To understand the preoperative feeding status and nutritional status of children with Pierre Robin Sequence, providing a basis for targeted feeding strategies and nutritional support. Methods A self-designed preoperative feeding status questionnaire for children with Pierre Robin Sequence and Screening Tool for Risk On Nutritional status and Growth (STRONG kids) were used to investigate the feeding status and nutritional status of 53 children with Pierre Robin Sequence admitted to our hospital from October 2024 to October 2025. Results Among children receiving oral feeding, 57.1% had an average feeding time per session exceeding 30 minutes; the prevalence of acute and chronic malnutrition was 50.9% and 22.6%, respectively; the prevalence of moderate and high nutritional risk was 64.2% and 35.8%, respectively. The mean energy intake of 22 exclusively formula-fed children was (359.56±53.64) kJ/(kg·d), with only 45.5% meeting the recommended standards. The proportions meeting the recommended energy intake among children aged 0, 1, and 3 months were 66.7%, 45.5%, and 50.0%, respectively. Preoperative WAZ was significantly lower than at birth [WAZ: (-2.19±1.42) vs. (-0.79±1.22), P<0.001]. Univariate analysis showed that longer average feeding times, feeding difficulties, and low energy intake density were associated with higher nutritional risk and poorer nutritional status. Conclusion Preoperative feeding difficulties, insufficient energy intake, and a high nutritional risk and malnutrition are common in children with Pierre Robin Sequence. Preoperative feeding assessment, nutritional risk screening, and individualized nutritional support should be strengthened, and standardized perioperative feeding management protocols should be actively explored to improve the nutritional status and clinical outcomes of these children.
关键词	皮罗序列征；婴幼儿；儿童营养障碍；牵张成骨术
KeyWord	Pierre Robin Sequence; Infants and young children; Childhood nutritional disorders; Distraction osteogenesis
基金项目
页码	55-61

参考文献
相关文献

[1] 王艳, 蒋朱明, Nolan Marie T., 等. 营养风险的概念分析
[J]. 中国临床营养杂志, 2009,17(2):104-106.

[2] Joosten K F, Hulst J M. Malnutrition in pediatric hospital patients: current issues
[J]. Nutrition, 2011,27(2):133-137.

[3] Mackay D R. Controversies in the diagnosis and management of the Robin sequence
[J]. J Craniofac Surg, 2011,22(2):415-420.

[4] Breugem C C, Mink Van Der Molen A B. What is ‘Pierre Robin sequence’?
[J]. Journal of Plastic, Reconstructive & Aesthetic Surgery, 2009,62(12):1555-1558.

[5] Breik O, Umapathysivam K, Tivey D, et al. Feeding and reflux in children after mandibular distraction osteogenesis for micrognathia: A systematic review
[J]. Int J Pediatr Otorhinolaryngol, 2016,85:128-135.

[6] 彭璐婷, 李荣, 赵卫华, 等. 706例外科住院患儿营养风险筛查及其临床意义
[J]. 中国当代儿科杂志, 2013, 15(10):880-885.

[7] Marques I L, de Sousa T V, Carneiro A F, et al.
[Robin sequence: a single treatment protocol]
[J]. J Pediatr (Rio J), 2005,81(1):14-22.

[8] Hulst J M, Zwart H, Hop W C, et al. Dutch national survey to test the STRONGkids nutritional risk screening tool in hospitalized children
[J]. Clin Nutr, 2010,29(1):106-111.

[9] WHO Multicentre Growth Reference Study Group. WHO Child Growth Standards based on length/height, weight and age
[J]. Acta Paediatr Suppl, 2006,450N:76-85.

[10] Berthold Koletzko. 临床儿科营养
[M]. 北京: 人民卫生出版社, 2009.

[11] 孙思, 万宏伟, 朱毓, 等. 母乳喂养现状及影响因素研究进展
[J]. 中华现代护理杂志, 2015,21(3):361-364.

[12] Hammerman C, Kaplan M. Oxygen saturation during and after feeding in healthy term infants
[J]. Biol Neonate, 1995,67(2):94-99.

[13] Marcellus L. The infant with Pierre Robin sequence: review and implications for nursing practice
[J]. J Pediatr Nurs, 2001,16(1):23-34.

[14] Miller C K, Willging J P. Advances in the evaluation and management of pediatric dysphagia
[J]. Curr Opin Otolaryngol Head Neck Surg, 2003,11(6):442-446.

[15] 万腾, 王国民. Robin序列征的治疗研究进展
[J]. 口腔颌面外科杂志, 2009,19(5):371-374.

[16] Cladis F, Kumar A, Grunwaldt L, et al. Pierre Robin Sequence: a perioperative review
[J]. Anesth Analg, 2014,119(2):400-412.

[17] Rickart A J, Sikdar O, Jenkinson A, et al. Diagnosis and Early Management of Robin Sequence
[J]. Children (Basel, Switzerland), 2024,11(9):1094.

[18] Harris J A, Caprio R M, Resnick C M. Do Infants With Robin Sequence Have Improved Feeding and Weight Gain After Mandibular Distraction?
[J]. Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons, 2021,79(6):1331-1338.

[19] Cozzi F, Totonelli G, Frediani S, et al. The effect of glossopexy on weight velocity in infants with Pierre Robin syndrome
[J]. J Pediatr Surg, 2008,43(2):296-298.

[20] Fachal C V, Fernández-González S M, Moreno-álvarez A, et al. Nutritional Screening Tools in the Pediatric Population: A Systematic Review
[J]. Nutrients, 2025,17(3): 433.

引用本文

冯少娟, 何紫燕, 吕云霞, 魏润菁, 吴丽容, 杨佩珊. 皮罗序列征患儿术前喂养现状及营养状况的调查研究 [J]. 国际护理学研究. 2026; 8; (5). 55 - 61.

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