儿童的生长迟缓和不成长
Emily T Goodwin1, Katie L Buel2, Laurel D Cantrell1
1Naval Hospital Jacksonville Family Medicine Residency Program, Jacksonville, Florida.
American family physician
|June 16, 2023
概括
儿童的生长迟缓,以前无法壮成长,当生长指标低于预期时就会发生. 早期识别和管理,使用人体测量z分数,对于最佳的发展和预防长期问题至关重要.
科学领域:
- 儿科 儿科 儿科
- 营养科学 营养科学
- 儿童发展 儿童发展
背景情况:
- 增长迟缓,以前是无法壮成长,影响儿童未能达到预期的体重,长度或BMI里程碑.
- 传统的生长评估方法可能不准确;人类测量z分数现在被推用于准确的营养不良严重程度评估.
- 不充分的热量摄入是主要原因,通过食史和体检确定.
研究的目的:
- 提供增长的诊断和管理的概述.
- 突出更新的评估工具的重要性,如z分数.
- 强调及时干预以实现最佳儿童发展.
主要方法:
- 评估使用世界卫生组织和疾病控制和预防中心的增长图表.
- 使用人体测量z分数来准确评估营养不良.
- 临床评估,包括食史和体检.
- 诊断测试只适用于严重病例或治疗失败.
- 查老年儿童或患有并发症的儿童的饮食障碍.
主要成果:
- 摄入不够的热量是导致生长迟缓的最常见原因.
- 对严重营养不良,有关症状或治疗失败的诊断测试有指示.
- 在特定的儿科群体中,应对饮食障碍进行查.
- 初级保健医生可以管理大多数病例,多学科团队对复杂的病例有益.
结论:
- 使用z分数进行准确的评估对于管理增长疲软至关重要.
- 早期识别和治疗,特别是在前两年内,至关重要.
- 未经治疗的生长迟缓会导致成年人身高和认知潜力下降.
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