教程：治疗儿童厌食的多学科策略

　　厌食是一种在儿科人群中的常见诊断。对一少部分儿童来讲，喂养挑战已经上升到需要临床评估和干预的水平。虽然决定最好的评估和治疗方案可能具有挑战性，但关于严重厌食儿童治疗需要多学科方法已经达成了共识。在团队模型中，多元化策略被证明是有效的，其中包括感觉运动技能的构建、行为矫正、饥饿激发、感觉统合治疗的方法。本篇教程对厌食儿童的诊断和治疗过程进行了回顾，包括对其潜在病因的识别、医学及行为评估、治疗计划的制定。

JPEN J Parenter Enteral Nutr. 2015 Nov;39(8):899-909.

Tutorial: Interdisciplinary Strategies for Treating Oral Aversions in Children.

Edwards S, Davis AM, Ernst L, Sitzmann B, Bruce A, Keeler D, Almadhoun O, Mousa H, Hyman P.

Children's Mercy Kansas City, Kansas City, Missouri.

Department of Pediatrics, University of Kansas Medical Center, Kansas City, Kansas.

Center for Children's Healthy Lifestyles & Nutrition, Kansas City, Missouri.

University of California in San Diego, Rady Children's Hospital, San Diego, California.

New Orleans Children's Hospital, New Orleans, Louisiana.

Oral aversion is a frequent diagnosis in the pediatric population. For a minority of children, feeding challenges rise to the level of requiring clinical evaluation and intervention. Determining the best evaluation and treatment plan can be challenging, but there is a consensus that treatment for children with a severe oral aversion involves an interdisciplinary approach. Within the team model, multiple strategies have demonstrated effectiveness, including sensorimotor skill building, behavioral modification, hunger provocation, and sensory integration therapy. This tutorial reviews the diagnostic and treatment process for a child with oral aversion, including identification of an underlying etiology, the medical and behavioral evaluation, and formulation of a treatment plan.

KEYWORDS: children; interdisciplinary; oral aversion; review; treatment; tube feeding

PMID: 26487751

DOI: 10.1177/0148607115609311