常见于 1 岁以下儿童。致病情况可能持续存在,导致儿童期持续性喂养困难。
阅读更多导致对达到健康生长要求所必需的液体或营养物质长期摄入不足或不耐受。任何病因引起的喂养问题,如未解决,都可能会造成生长发育不良。
病因往往复杂,并可存在多个致病因素,最好采取多学科团队治疗。病因包括解剖、神经肌肉/神经发育、免疫、生理和行为方面的因素。
通常采用临床诊断,而病史应有饮食评估的支持,并与临床诊断一致。辅助诊断手段和后续治疗会在体格检查结果和症状严重性的引导下进行。
喂养障碍在性质上通常为亚急性到慢性。喂养习惯上的突然变化可能与其他疾病有关,尤其是感染,必须予以排除。
导致 1 岁以下婴儿液体或营养物质摄入不足或不耐受的情况。[1]Milnes SM, Piazza CC, Carroll-Hernandez TA. Assessment and treatment of pediatric feeding disorders. Encyclopedia on early childhood development. March 2004. http://www.child-encyclopedia.com/ (last accessed 5 July 2017).http://www.child-encyclopedia.com/sites/default/files/textes-experts/en/535/assessment-and-treatment-of-pediatric-feeding-disorders.pdf病因通常复杂并可涉及多种因素,但是可包括解剖、神经系统/神经肌肉、神经发育、免疫、生理和行为方面的问题。[1]Milnes SM, Piazza CC, Carroll-Hernandez TA. Assessment and treatment of pediatric feeding disorders. Encyclopedia on early childhood development. March 2004. http://www.child-encyclopedia.com/ (last accessed 5 July 2017).http://www.child-encyclopedia.com/sites/default/files/textes-experts/en/535/assessment-and-treatment-of-pediatric-feeding-disorders.pdf[2]Rommel N, De Meyer AM, Feenstra L, et al. The complexity of feeding problems in 700 infants and young children presenting to a tertiary care institution. J Pediatr Gastroenterol Nutr. 2003;37:75-84.http://www.ncbi.nlm.nih.gov/pubmed/12827010?tool=bestpractice.com[3]Bernard-Bonnin AC. Feeding problems of infants and toddlers. Can Fam Physician. 2006;52:1247-1251.http://www.cfp.ca/content/52/10/1247.full.pdfhttp://www.ncbi.nlm.nih.gov/pubmed/17279184?tool=bestpractice.com[4]Field D, Garland M, Williams K. Correlates of specific childhood feeding problems. J Paediatr Child Health. 2003;39:299-304.http://www.ncbi.nlm.nih.gov/pubmed/12755939?tool=bestpractice.com