Colomb V, Goulet O, Ricour C
Hôpital Necker-Enfants Malades, Fédération de Pédiatrie, Unité de Gastroentérologie et Nutrition, Paris, France.
Baillieres Clin Gastroenterol. 1998 Dec;12(4):877-94. doi: 10.1016/s0950-3528(98)90012-4.
The prevalence of home enteral and parenteral nutrition programmes is rising rapidly all over the world, in children as in adults. Home artificial nutrition, especially parenteral nutrition, is an expensive technology but is life-saving for many patients. The only possible alternative to home treatment is keeping patients in hospital, and cost-benefit studies have demonstrated that home nutrition is about 70% more cost-effective than hospital-based therapy. Although home nutrition is usually considered by children and families to lead to an improvement in their quality of life, the complications of these techniques, including psychological consequences, have to be carefully assessed and prevented.
家庭肠内和肠外营养方案在全球范围内，无论儿童还是成人，都在迅速普及。家庭人工营养，尤其是肠外营养，是一项昂贵的技术，但对许多患者来说是救命的。家庭治疗唯一可能的替代方案是让患者住院，而成本效益研究表明，家庭营养比住院治疗的成本效益高约70%。尽管儿童及其家庭通常认为家庭营养能改善他们的生活质量，但这些技术的并发症，包括心理影响，必须仔细评估并预防。
