临床儿科杂志 ›› 2024, Vol. 42 ›› Issue (5): 390-398.doi: 10.12372/jcp.2024.24e0163

• 标准·方案·指南 • 上一篇    下一篇

《生长减缓婴幼儿的追赶生长:指导临床医师的专家建议》解读

毛萌1, 邵洁2, 陈津津3, 沈理笑4   

  1. 1.四川大学华西第二医院儿童保健科(四川成都 610041)
    2.浙江大学医学院附属儿童医院儿童保健科国家儿童健康与疾病临床医学研究中心(浙江杭州 310003)
    3.上海交通大学医学院附属儿童医院(上海 200040)
    4.上海交通大学医学院附属新华医院发育行为儿童保健科 环境与儿童健康教育部和上海市重点实验室 (上海 200092)
  • 收稿日期:2024-03-05 出版日期:2024-05-15 发布日期:2024-05-10

Interpretation of Catch-up growth in infants and young children with faltering growth: expert opinion to guide general clinicians

MAO Meng1, SHAO Jie2, CHEN Jinjin3, SHEN Lixiao4   

  1. 1. Department of Child Health Care, West China Women’s and Children’s Hospital, Sichuan University, Chengdu 610041, Sichun, China
    2. Department of Child Health Care, Children’s Hospital Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou 310003, Zhejiang, China
    3. Shanghai Childern's Hospital, Affiliated to Shanghai JiaoTong University School of Medicine, Shanghai200040, China
    4. Department of Developmental and Behavioral Pediatric & Child Primary Care, MOE-Shanghai Key Laboratory for Children's Environmental Health, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai200092, China
  • Received:2024-03-05 Online:2024-05-15 Published:2024-05-10

摘要:

生长减缓是帮助早期识别营养问题的重要临床表现,尽早识别和干预婴幼儿生长减缓对改善其近远期健康结局意义重大。之前发表的相关指南和专家共识对生长减缓缺乏统一的定义,影响临床识别、评估与规范管理。2023年3月,Journal of Pediatric Gastroenterology and Nutrition杂志发表了《生长减缓婴幼儿的追赶生长:指导临床医师的专家建议》,不仅阐述了追赶生长的重要性,还针对如何适当地定义、评估和管理生长减缓制定了切实可行的共识建议,对临床医生具有现实的指导价值。本文结合我国临床现状,对该“建议”进行解读,以期为我国临床医师管理生长减缓婴幼儿提供指导和参考。

关键词: 生长减缓, 追赶生长, 临床管理, 建议解读, 婴幼儿

Abstract:

Faltering growth is an important clinical signs for early identification of nutritional problems, and early identification and intervention of faltering growth in infants and young children is of great significance for improving their short-term and long-term health outcomes. Previous published guidelines and expert consensus lack a unified definition of faltering growth, which affects clinical identification, evaluation and standardized management. In March 2023, the Journal of Pediatric Gastroenterology and Nutrition published an article titled 'Catch-up growth in infants and young children with faltering growth: expert opinion to guide general clinicians'. It not only expounds the importance of catch-up growth, but also formulates practical consensus recommendations on how to properly define, evaluate and manage faltering growth, which has practical guiding value for clinicians. Based on the current situation of clinical practice in China, this paper interprets the recommendations in order to provide guidance and reference for clinicians to manage infants and young children with faltering growth in China.

Key words: faltering growth, catch up growth, clinical management, consensus interpretation, infants and young children