Sanders K D, Cox K, Cannon R, Blanchard D, Pitcher J, Papathakis P, Varella L, Maughan R
Department of Pediatrics, University of California, Davis Medical Center, Sacramento.
JPEN J Parenter Enteral Nutr. 1990 Jan-Feb;14(1):23-6. doi: 10.1177/014860719001400123.
This study evaluated the growth of 51 children with cerebral palsy after the initiation of enteral tube feedings. The children were divided into three groups according to how soon after their central nervous system (CNS) insult they were started on enteral feedings. Group 1 consisted of 14 children who were within a year of their CNS insult; they were underweight for age, but had normal length as well as weight for length. Within 6 months of initiating enteral tube feedings, most children in this group had normalized their weights. Group 2 consisted of 27 children who were within 8 years of their CNS insult; they were stunted and were underweight for both their age and their length. Within 6 months of initiating enteral feeds, the group increased both weight and weight for length to near normal, but their gains in length reached a plateau at 90% of ideal for age. Group 3 consisted of 10 children who were more than 8 years after their CNS insult. This group was severely malnourished but had some improvement in their weight for age and for length but, length for age showed no significant change. We conclude that the earlier adequate nutritional management of children with severe cerebral palsy is initiated, the more readily the nutritional deficits will reverse.
本研究评估了51名脑瘫患儿开始肠内管饲后的生长情况。根据中枢神经系统（CNS）损伤后多久开始肠内喂养，将这些患儿分为三组。第一组由14名在CNS损伤后1年内的患儿组成；他们年龄别体重偏低，但身长正常，且身长别体重正常。在开始肠内管饲后的6个月内，该组大多数患儿的体重恢复正常。第二组由27名在CNS损伤后8年内的患儿组成；他们发育迟缓，年龄别体重和身长别体重均偏低。在开始肠内喂养后的6个月内，该组体重和身长别体重均增加至接近正常，但身长增长在达到年龄理想值的90%时趋于平稳。第三组由10名在CNS损伤后8年以上的患儿组成。该组严重营养不良，但年龄别体重和身长别体重有所改善，但年龄别身长无显著变化。我们得出结论，重度脑瘫患儿越早开始适当的营养管理，营养缺乏就越容易得到纠正。
