Edwards Sarah, Davis Ann McGrath, Ernst Linda, Sitzmann Brenda, Bruce Amanda, Keeler David, Almadhoun Osama, Mousa Hayat, Hyman Paul
Children's Mercy Kansas City, Kansas City, Missouri
Department of Pediatrics, University of Kansas Medical Center, Kansas City, Kansas Center for Children's Healthy Lifestyles & Nutrition, Kansas City, Missouri.
JPEN J Parenter Enteral Nutr. 2015 Nov;39(8):899-909. doi: 10.1177/0148607115609311.
Oral aversion is a frequent diagnosis in the pediatric population. For a minority of children, feeding challenges rise to the level of requiring clinical evaluation and intervention. Determining the best evaluation and treatment plan can be challenging, but there is a consensus that treatment for children with a severe oral aversion involves an interdisciplinary approach. Within the team model, multiple strategies have demonstrated effectiveness, including sensorimotor skill building, behavioral modification, hunger provocation, and sensory integration therapy. This tutorial reviews the diagnostic and treatment process for a child with oral aversion, including identification of an underlying etiology, the medical and behavioral evaluation, and formulation of a treatment plan.
口腔厌恶是儿科人群中常见的诊断。对于少数儿童来说,喂养困难严重到需要临床评估和干预的程度。确定最佳的评估和治疗方案可能具有挑战性,但人们普遍认为,对严重口腔厌恶儿童的治疗需要采用跨学科方法。在团队模式中,多种策略已证明有效,包括感觉运动技能培养、行为矫正、饥饿激发和感觉统合治疗。本教程回顾了口腔厌恶儿童的诊断和治疗过程,包括潜在病因的识别、医学和行为评估以及治疗计划的制定。