摘要
短肠综合征患儿由于小肠消化吸收面积严重减少而无法满足生长发育的需求,需要通过肠外、肠内营养支持治疗,促进肠道适应,从而实现全肠内营养。然而,在喂养过渡期间短肠综合征患儿的口腔厌恶和喂养困难问题突出,严重影响患儿生存质量。目前临床上关于儿童短肠综合征经口喂养困难及其干预措施尚缺乏指导,本文旨在综合现有研究,分析患儿发生经口喂养困难及口腔厌恶的原因,并探讨有效干预措施,帮助患儿克服口腔厌恶,促进经口喂养,为短肠综合征患儿实现完全经口喂养提供临床实践依据。
Children with short bowel syndrome(SBS)are unable to meet the demands of growth and development due to a severe reduction in digestive and absorptive area of small bowel.Parenteral and enteral nutritional supports are required for promoting intestinal adaptation to achieve total enteral nutrition.However,oral aversion and feeding difficulties are prominent during a transition to feeding,seriously affecting quality-of-life.Currently there is a lack of clinical guidance on oral feeding difficulties and proper interventions.The objective of this review was exploring the reasons for the occurrence of oral feeding difficulties and oral aversion.Existing studies were analyzed for formulating potentially effective interventions.It would guide clinical practices to achieve complete oral feeding in SBS children.
作者
胡艳
凌云
林楠
赖登明
钭金法
Hu Yan;Ling Yun;Lin Nan;Lai Dengming;Tou jinfa(National Clinical Research Center for Children's Health,National Regional Medical Center for Children,Department of Neonatal Surgery,Children's Hospital,Zhejiang University School of Medicine,Hangzhou 310052,China;National Clinical Research Center for Children's Health,National Regional Medical Center for Children,Nursing Department,Children's Hospital,Zhejiang University School of Medicine,Hangzhou 310052,China)
出处
《临床小儿外科杂志》
CAS
CSCD
2023年第9期839-843,共5页
Journal of Clinical Pediatric Surgery
基金
浙江省医药卫生科技计划面上项目(2021KY183)
浙江大学2020年省教育厅一般科研项目(Y202045783)
关键词
肠闭锁
术后加速康复
营养支持
外科手术
儿童
短肠综合征
Intestinal Atresia
Enhanced Recovery After Surgery
Nutritional Support
Surgical Procedures,Operative
Child
Short Bowel Syndrome
