Gisel E G, Patrick J
School of Physical and Occupational Therapy, McGill University, Montreal, Quebec, Canada.
Lancet. 1988 Feb 6;1(8580):283-6. doi: 10.1016/s0140-6736(88)90360-1.
7 children aged 2-16 with severe cerebral palsy and growth failure were compared with children of the same weight in respect of their eating efficiency. Children with cerebral palsy took 2-12 times longer to chew and swallow a standard amount of puréed food and 1-15 times longer for solid food than did their weight-controls. A behaviour score of feeding characteristics was higher in children with cerebral palsy than in controls. Even long meal times do not compensate for the severity of these childrens' feeding impairment. The measurements of feeding efficiency provides the basis for early identification of children who cannot be adequately nourished without ancillary feeding by nasogastric tube or by enterostomy.
对7名年龄在2至16岁、患有严重脑瘫且生长发育迟缓的儿童与体重相同的儿童的进食效率进行了比较。脑瘫患儿咀嚼和吞咽标准量的泥状食物所需时间比体重匹配的对照组儿童长2至12倍，吞咽固体食物所需时间则长1至15倍。脑瘫患儿喂养特征的行为评分高于对照组。即使进餐时间长也无法弥补这些儿童喂养障碍的严重程度。进食效率的测量为早期识别那些不通过鼻胃管或造口术等辅助喂养就无法获得充足营养的儿童提供了依据。
