Kipfer Sharon, Goldman Ran D
Can Fam Physician. 2021 Mar;67(3):180-182. doi: 10.46747/cfp.6703180.
I frequently encounter infants with symptoms suggestive of allergy after being introduced to standard cow's milk formula. Parents are concerned and ask for recommendations regarding formula alternatives. Which formulas are best for children with cow's milk allergy?
Cow's milk allergy is common, and the criterion standard for diagnosis is elimination, provocation (with a double-blind, placebo-controlled food challenge protocol), and re-elimination. The allergy is treated by eliminating cow's milk protein from the diet. Formula alternatives include hydrolyzed cow's milk formula, rice-based formula, soy-based formula, and amino acid-based formula, which are all nutritionally adequate alternatives to cow's milk formula. Symptom severity, patient preference, cost, and efficacy are factors to be considered when choosing an alternative.
我经常遇到一些婴儿，在开始食用标准牛奶配方奶粉后出现疑似过敏的症状。家长们很担心，询问关于替代配方奶粉的建议。哪种配方奶粉最适合牛奶过敏的儿童？
牛奶过敏很常见，诊断的标准方法是排除、激发（采用双盲、安慰剂对照食物激发方案）和再次排除。通过从饮食中去除牛奶蛋白来治疗过敏。替代配方奶粉包括水解牛奶配方奶粉、大米配方奶粉、大豆配方奶粉和氨基酸配方奶粉，这些都是牛奶配方奶粉在营养方面足够的替代品。选择替代品时要考虑症状严重程度、患者偏好、成本和疗效等因素。
