Connett Gary J
Consultant in Paediatric Respiratory Medicine, Southampton Children's Hospital, University Hospital Southampton NHS Foundation Trust, Tremona Road, Southampton, SO16 6YD, UK.
Paediatr Respir Rev. 2016 Jan;17:42-4. doi: 10.1016/j.prrv.2015.08.006. Epub 2015 Oct 31.
Survival data for successive birth cohorts of cystic fibrosis infants born in the twentieth century have shown consistent improvements. More recent UK and US data suggest a plateau in improvements for clinically relevant outcomes. Better treatment of malnutrition has arguably been the most important advance in CF care, but despite this nearly a half of the UK CF population has a sub-optimal BMI. Nutritional decline typically occurs in late childhood and early adult life. Addressing poor adherence and more targeted multi-disciplinary interventions to prevent or reverse this pattern are key to achieving better outcomes for CF patients in the future.
20世纪出生的囊性纤维化婴儿连续出生队列的生存数据显示出持续改善。英国和美国的最新数据表明,临床相关结局的改善已趋于平稳。营养不良的更好治疗可以说是囊性纤维化护理中最重要的进展,但尽管如此,近一半的英国囊性纤维化患者体重指数仍不理想。营养状况下降通常发生在儿童晚期和成年早期。解决依从性差的问题以及采取更有针对性的多学科干预措施来预防或扭转这种模式,是未来为囊性纤维化患者取得更好结局的关键。