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首页> 外文期刊>Pediatrics: Official Publication of the American Academy of Pediatrics >Catch-up growth in children treated with home enteral nutrition.
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Catch-up growth in children treated with home enteral nutrition.

机译：接受家庭肠内营养治疗的儿童的追赶性成长。

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OBJECTIVE: This study was designed to determine the effect of home enteral nutrition on the outcomes of growth and the relationship between growth and entrance anthropometric criteria. METHODS: We reviewed the medical records of 78 consecutive children (median age, 20 months) who were enrolled in the home enteral feeding program at the Alberta Children's Hospital (Calgary, Alberta, Canada) between 1993 and 1995. Weights, heights, and weight-for-heights were expressed as Z scores, using the Centers for Disease Control and Prevention anthropometric growth curve software. To evaluate growth outcome, the total group was further subdivided using anthropometric criteria into appropriate, wasted, or stunted at the time of entry to the program. In a subgroup of 36 children on whom anthropometric data was available for a median length of 5.7 months, Z scores were compared at 3 points in time: before entry, at time of entry, and last follow-up. RESULTS: Patients were classified into five main groups: 11 (14%) had pulmonary disease, 26 (33%) had a gastrointestinal disorder, 21 (27%) had congenital defects, 10 (13%) had a neurologic disorder, and the remaining 10 (13%) had a variety of other illnesses, including malignancies and metabolic disorders. Patients were on the program for a median duration of 8.9 months. It was found that during the period of support within the program, enteral feeding was successful in improving weight-for-age Z scores by 0.42 standard deviations but the effect on height-for-age Z scores and weight-for-height Z scores did not reach significance for this population. The subgroup of 36 children on whom longitudinal anthropometric data was available before entering the program was found to have had a significant drop in weight Z scores between the time before program entry (median length of time, 5.7 months) and the time of program entry, which indicates that these children were falling off the growth curve before commencing enteral feeding. To evaluate growth outcome, the total group was further subdivided using anthropometric criteria into appropriate, wasted, or stunted at the time of entry to the program. In the group of appropriate growth patients, while in the program, 50% had catch-up growth for weight (positive change in Z scores) and 33% for height. In the wasted patients, 92% improved their weight percentile and 75% their height percentile. In the stunted group, 71% had catch-up growth for weight and 74% for height. CONCLUSION: We concluded that the enteral feeding program was able to promote catch-up growth or maintain growth along percentiles in the majority of children.
机译：目的：本研究旨在确定家庭肠内营养对生长结果的影响以及生长与入口人体测量标准之间的关系。方法：我们回顾了1993年至1995年之间在艾伯塔省儿​​童医院（加拿大艾伯塔省卡尔加里）参加家庭肠内喂养计划的78名连续儿童（中位年龄为20个月）的病历。体重，身高和体重使用疾病控制和预防中心人体测量生长曲线软件，以身高表示的身高表示为Z分数。为了评估生长结果，在进入该程序时，使用人体测量学标准将整个组进一步细分为适当的，浪费的或发育不良的。在一个36位儿童的亚组中，可以得到人体测量数据的中位时间为5.7个月，在3个时间点比较了Z评分：入院前，入院时和最后一次随访。结果：患者分为五个主要组：11（14％）人患有肺部疾病，26（33％）人患有肠胃疾病，21（27％）人患有先天性缺陷，10（13％）人患有神经系统疾病，其余10人（13％）患有多种其他疾病，包括恶性肿瘤和代谢异常。患者接受该程序的中位时间为8.9个月。研究发现，在计划内的支持期间，肠内喂养成功地使年龄别体重Z评分提高了0.42个标准差，但对年龄别身高Z评分和体重别体重Z评分的影响确实得到了改善对这个人群没有意义。发现有36名儿童的子集在进入程序前可获得纵向人体测量学数据，在进入程序前的时间（中位时间为5.7个月）至进入程序的时间之间，体重Z得分显着下降，这表明这些孩子在开始肠内喂养之前已经脱离了生长曲线。为了评估生长结果，在进入该程序时，使用人体测量学标准将整个组进一步细分为适当的，浪费的或发育不良的。在该计划中，在适当的成长患者组中，体重增加（Z分数呈正向变化）的人有50％，身高则有33％。在浪费的患者中，有92％的人改善了体重百分比，而75％的身高改善了百分比。在发育迟缓组中，有71％的人体重增长追赶，而身高的人增长74％。结论：我们的结论是，大多数儿童的肠内喂养计划能够促进追赶性生长或维持百分位的生长。

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