Coad Jane, Toft Alex, Lapwood Susie, Manning Joseph, Hunter Mark, Jenkins Huw, Sadlier Clare, Hammonds Julie, Kennedy Ailsa, Murch Simon, Widdas David
Children and Families Research (CFR), Centre for Technology Enabled Health Research (CTEHR), Coventry University, Coventry, UK.
Helen and Douglas House, Oxford, UK.
Arch Dis Child. 2017 Mar;102(3):274-278. doi: 10.1136/archdischild-2016-311030. Epub 2016 Oct 18.
With the growing number of children and young people with complex care needs or life-limiting conditions, alternative routes for nutrition have been established (such as gastrostomy feeding). The conditions of children and young people who require such feeding are diverse but could relate to problems with swallowing (dysphagia), digestive disorders or neurological/muscular disorders. However, the use of a blended diet as an alternative to prescribed formula feeds for children fed via a gastrostomy is a contentious issue for clinicians and researchers. From a rapid review of the literature, we identify that current evidence falls into three categories: (1) those who feel that the use of a blended diet is unsafe and substandard; (2) those who see benefits of such a diet as an alternative in particular circumstances (eg, to reduce constipation) and (3) those who see merit in the blended diet but are cautious to proclaim potential benefits due to the lack of clinical research. There may be some benefits to using blended diets, although concerns around safety, nutrition and practical issues remain.
随着需要复杂护理或患有危及生命疾病的儿童和年轻人数量不断增加，已确立了替代营养途径（如胃造口喂养）。需要此类喂养的儿童和年轻人的病情各不相同，但可能与吞咽问题（吞咽困难）、消化系统疾病或神经/肌肉疾病有关。然而，对于通过胃造口喂养的儿童，使用混合饮食替代处方配方奶是临床医生和研究人员争论的问题。通过对文献的快速回顾，我们发现目前的证据分为三类：（1）那些认为使用混合饮食不安全且不合标准的人；（2）那些认为在特定情况下（如减少便秘）这种饮食作为替代方案有好处的人；（3）那些认为混合饮食有价值，但由于缺乏临床研究而谨慎宣称其潜在益处的人。使用混合饮食可能有一些好处，尽管对安全性、营养和实际问题的担忧仍然存在。
