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多模式住院治疗是否有助于一些患有严重ARFID的青少年?

Sélim Benjamin Guessoum¹, Alexandra Loisel¹, Brunella Fabrizio²

¹Maison des adolescents - Youth Department, Cochin Hospital, AP-HP, 75014 Paris, France; PCPP, University of Paris, 92100 Boulogne-Billancourt, France; Inserm, UVSQ, CESP, Team DevPsy, University Paris-Saclay, 94807 Villejuif, France.

|November 23, 2024

概括

住院护理可以帮助患有严重回避性限制性食物摄入障碍 (ARFID) 的青少年. 多模式治疗使50%的患者恢复正常体重,解决了营养不良和生长问题.

科学领域:

青少年医学青少年医学
饮食障碍饮食障碍饮食障碍饮食障碍
精神病学是一个精神病学.

背景情况:

避免性限制性食物摄入障碍 (ARFID) 是最近发现的一种饮食障碍.
对于ARFID的住院治疗数据仍然有限,因为它主要在门诊环境中进行管理.
这项研究侧重于一个独特的青少年队列,需要为严重的ARFID进行密集住院护理.

研究的目的:

为了描述严重ARFID的青少年的临床概况,他们被录取为全日制住院护理.
描述采用的多式联运管理策略.
评估这些患者的治疗结果和演变.

主要方法:

在2005年至2022年期间,对被诊断患有ARFID并住院的患者进行了一项回顾性研究.
数据来自法国巴黎一家专业大学医院的青少年医学部门.
该研究检查了临床特征,管理方法和患者的结果.

主要成果:

十六名青少年 (年龄12-17岁) 患有严重的ARFID,营养不良和生长问题被住院治疗.
大多数患者的体重指数 (BMI) 低于 -2 标准偏差,入院时平均为 14.1.
多模式治疗包括营养,体质和精神保健,以及家庭参与,导致50%的患者在平均五个月住院后,在出院时达到正常的BMI.

结论:

密集的,多式联通的住院护理可以有效地恢复严重ARFID的青少年的体重,以及像增长迟缓或延迟青春期这样的并发症.
多学科团队的量身定制管理对于具有重大医学和精神病相关疾病的患者至关重要.
需要进一步的研究来确定特定的ARFID亚型,以优化预后和治疗策略.

关键词:

青少年是一个青少年.避免性限制性食物摄入障碍避免性限制性食物摄入障碍饮食障碍是一种饮食障碍.在医院住院.在住院的病人.多学科的多学科.多学科多学科难以避免和限制性食物价格问题食问题食问题

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