Senez C, Guys J M, Mancini J, Paz Paredes A, Lena G, Choux M
Department of Pediatric Neurosurgery, Hôpital des Enfants, La Timone, Marseille, France.
Childs Nerv Syst. 1996 Oct;12(10):590-4. doi: 10.1007/BF00261653.
Most of the children seen by specialists in neonatalogy, neuropaediatrics or neurosurgery do not have any problems in starting with oral feeding after a period of tube feeding lasting between 15 and 20 days. Children who have been tube fed for a longer period, however, can find it very difficult or even impossible to re-establish oral feeding when they have sufficiently recovered from their underlying problem. To cope with this situation we propose a procedure based on the afferentation or re-afferentation of the oropharyngeal cavity by sensory stimulations and by re-establishment of the biological clock (circadian rhythm) by applying these stimulations during tube feeding at regular hours. In 19 children who showed difficulties oral feeding became possible a short time after such a procedure had been applied. If the principles of swallowing neurophysiology and the biological rhythm are respected, this procedure, which also involves a contribution from the family, leads to quicker oral feeding and shorter stay in hospital.
新生儿学、神经儿科学或神经外科专科医生诊治的大多数儿童，在持续15至20天的管饲期后开始经口喂养时没有任何问题。然而，管饲时间较长的儿童，在从潜在疾病中充分康复后，可能会发现重新建立经口喂养非常困难甚至不可能。为应对这种情况，我们提出一种程序，通过感觉刺激对口咽腔进行传入或重新传入，并在定时管饲期间应用这些刺激来重新建立生物钟（昼夜节律）。在19名经口喂养有困难的儿童中，应用此程序后不久就实现了经口喂养。如果遵循吞咽神经生理学原理和生物节律，此程序（其中也有家庭的参与）可使经口喂养更快实现，并缩短住院时间。
