Von Graffenried Thea, Gay Gaelle, Bianchi Nicoletta, Nydegger Andreas, Petit Laetitia-Marie
Unité de gastroentérologie, hépatologie et nutrition pédiatrique, Service de pédiatrie, Département femme-mère-enfant, Centre hospitalier universitaire vaudois et Université de Lausanne, 1011 Lausanne.
Service d'endocrinologie, diabétologie et métabolisme, Centre hospitalier universitaire vaudois et Université de Lausanne, 1011 Lausanne.
Rev Med Suisse. 2022 Feb 23;18(770):324-327. doi: 10.53738/REVMED.2022.18.770.324.
Digestive and nutritional problems of children with cerebral palsy put them at risk of malnutrition. Identification of these problems through measurements of weight, height, and body composition is essential. Feeding difficulties may be caused by a combination of oral and digestive problems, such as swallowing difficulties, gastroesophageal reflux, and constipation. If oral feeding is difficult or unsafe, a nasogastric tube or gastrostomy may be necessary. Once the feeding regimen has been established, energy needs must be assessed on an individual basis. This nutritional management involves a multidisciplinary team of health care professionals, the child, and the family.
脑瘫患儿的消化和营养问题使他们面临营养不良的风险。通过测量体重、身高和身体成分来识别这些问题至关重要。喂养困难可能由口腔和消化问题共同引起,如吞咽困难、胃食管反流和便秘。如果经口喂养困难或不安全,可能需要插入鼻胃管或进行胃造口术。一旦确定了喂养方案,就必须根据个体情况评估能量需求。这种营养管理需要一个由医疗保健专业人员、患儿及其家庭组成的多学科团队。