管理神经功能障碍儿童营养问题和胃肠道症状的十大要点。
Top-ten tips for managing nutritional issues and gastrointestinal symptoms in children with neurological impairment.
机构信息
Department of Human Pathology in Adulthood and Childhood "G. Barresi", Pediatric Gastroenterology and Cystic Fibrosis Unit, University of Messina, Via Consolare Valeria, 98124, Messina, Italy.
Department of Pediatric Gastroenterology, Hepatology and Nutrition, CHU Lille, Lille, France.
出版信息
Ital J Pediatr. 2020 Mar 27;46(1):35. doi: 10.1186/s13052-020-0800-1.
Abstract
The prevalence of children with neurological impairment (NI) presenting feeding difficulties and gastrointestinal symptoms is rising. The most recent guidelines recommend early nutritional assessment and intervention in order to prevent undernutrition and growth failure, along with the proper diagnosis and treatment of some frequent gastrointestinal symptoms, such as gastroesophageal reflux disease (GERD) and constipation, which can further worsen the feeding process and nutritional status. Nonetheless, the nutritional issues and growth deficits of children with NI are often considered to be of low priority or under recognised by healthcare providers. The present article proposes ten top tips that highlight the major points along the nutritional management pathway of NI children. The implementation of these tips in all healthcare settings could potentially improve patient outcomes and reduce morbidity and mortality.
摘要
患有神经发育障碍（NI）的儿童出现喂养困难和胃肠道症状的比例正在上升。最新的指南建议早期进行营养评估和干预，以预防营养不良和生长发育不良，同时还应正确诊断和治疗一些常见的胃肠道症状，如胃食管反流病（GERD）和便秘，这些症状会进一步恶化喂养过程和营养状况。尽管如此，NI 儿童的营养问题和生长缺陷往往被医疗保健提供者视为低优先级或未被认识到的问题。本文提出了十大要点，重点介绍了 NI 儿童营养管理路径的要点。在所有医疗保健环境中实施这些要点，可能会改善患者的预后，并降低发病率和死亡率。
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