{"title":"先天性糖尿病患儿手术期间的营养风险评估和营养支持。","authors":"Jiaoyan Lian, Fang Zhang, Haoyu Chen","doi":"10.1515/med-2025-1204","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>This work investigated intraoperative nutritional risk and nutritional support for children with congenital diabetes.</p><p><strong>Materials and methods: </strong>A total of 60 cases of children with congenital diabetes were assigned into two groups: the intravenous group (<i>n</i> = 30) and the oral group (<i>n</i> = 30). Medications were administered based on the actual conditions of patients. After surgery, the relationship between intraoperative nutritional risk score and glucose changes was studied.</p><p><strong>Results: </strong>All patients had normal liver and kidney function. In the intravenous group, 26 cases had sufficient calorie intake. The numbers of cases with normal nutrition, malnutrition, and severe malnutrition were 7, 12, and 11, respectively. The incidences of infection, delayed wound healing (DWH), difficult glucose control (DGC), and respiratory system complications were 3, 6, 12, and 1, respectively. In the oral group, 21 cases had sufficient calorie intake. Numbers of cases with normal nutrition, malnutrition, and severe malnutrition were 8, 9, and 13, respectively. The incidences of infection, DWH, and DGC were 2, 6, and 9, respectively. Fasting blood glucose <6.5 mmol/L and body mass index <17.3 were independent risk factors affecting nutritional support.</p><p><strong>Conclusion: </strong>Nutritional risk assessment and support during surgery for children with congenital diabetes were crucial for appropriate support.</p>","PeriodicalId":19715,"journal":{"name":"Open Medicine","volume":"20 1","pages":"20251204"},"PeriodicalIF":1.6000,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12203482/pdf/","citationCount":"0","resultStr":"{\"title\":\"Nutritional risk assessment and nutritional support in children with congenital diabetes during surgery.\",\"authors\":\"Jiaoyan Lian, Fang Zhang, Haoyu Chen\",\"doi\":\"10.1515/med-2025-1204\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>This work investigated intraoperative nutritional risk and nutritional support for children with congenital diabetes.</p><p><strong>Materials and methods: </strong>A total of 60 cases of children with congenital diabetes were assigned into two groups: the intravenous group (<i>n</i> = 30) and the oral group (<i>n</i> = 30). Medications were administered based on the actual conditions of patients. After surgery, the relationship between intraoperative nutritional risk score and glucose changes was studied.</p><p><strong>Results: </strong>All patients had normal liver and kidney function. In the intravenous group, 26 cases had sufficient calorie intake. The numbers of cases with normal nutrition, malnutrition, and severe malnutrition were 7, 12, and 11, respectively. The incidences of infection, delayed wound healing (DWH), difficult glucose control (DGC), and respiratory system complications were 3, 6, 12, and 1, respectively. In the oral group, 21 cases had sufficient calorie intake. Numbers of cases with normal nutrition, malnutrition, and severe malnutrition were 8, 9, and 13, respectively. The incidences of infection, DWH, and DGC were 2, 6, and 9, respectively. Fasting blood glucose <6.5 mmol/L and body mass index <17.3 were independent risk factors affecting nutritional support.</p><p><strong>Conclusion: </strong>Nutritional risk assessment and support during surgery for children with congenital diabetes were crucial for appropriate support.</p>\",\"PeriodicalId\":19715,\"journal\":{\"name\":\"Open Medicine\",\"volume\":\"20 1\",\"pages\":\"20251204\"},\"PeriodicalIF\":1.6000,\"publicationDate\":\"2025-06-26\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12203482/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Open Medicine\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1515/med-2025-1204\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q2\",\"JCRName\":\"MEDICINE, GENERAL & INTERNAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Open Medicine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1515/med-2025-1204","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
Nutritional risk assessment and nutritional support in children with congenital diabetes during surgery.
Objective: This work investigated intraoperative nutritional risk and nutritional support for children with congenital diabetes.
Materials and methods: A total of 60 cases of children with congenital diabetes were assigned into two groups: the intravenous group (n = 30) and the oral group (n = 30). Medications were administered based on the actual conditions of patients. After surgery, the relationship between intraoperative nutritional risk score and glucose changes was studied.
Results: All patients had normal liver and kidney function. In the intravenous group, 26 cases had sufficient calorie intake. The numbers of cases with normal nutrition, malnutrition, and severe malnutrition were 7, 12, and 11, respectively. The incidences of infection, delayed wound healing (DWH), difficult glucose control (DGC), and respiratory system complications were 3, 6, 12, and 1, respectively. In the oral group, 21 cases had sufficient calorie intake. Numbers of cases with normal nutrition, malnutrition, and severe malnutrition were 8, 9, and 13, respectively. The incidences of infection, DWH, and DGC were 2, 6, and 9, respectively. Fasting blood glucose <6.5 mmol/L and body mass index <17.3 were independent risk factors affecting nutritional support.
Conclusion: Nutritional risk assessment and support during surgery for children with congenital diabetes were crucial for appropriate support.
期刊介绍：
Open Medicine is an open access journal that provides users with free, instant, and continued access to all content worldwide. The primary goal of the journal has always been a focus on maintaining the high quality of its published content. Its mission is to facilitate the exchange of ideas between medical science researchers from different countries. Papers connected to all fields of medicine and public health are welcomed. Open Medicine accepts submissions of research articles, reviews, case reports, letters to editor and book reviews.
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