临床实践指南,用于诊断和管理的体重
Hans B Kersten1, Praveen S Goday2, Ruba Abdelhadi3
1St. Christopher's Hospital for Children, Drexel University College of Medicine, Philadelphia, Pennsylvania.
Pediatrics
|March 15, 2026
概括
这个指南更新了"未能壮成长"到"体重不稳定",使用z分数进行诊断. 它建议增加卡路里,营养支持,并为体重增加不良的儿童提供食疗法.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 临床实践指南 临床实践指南
- 儿童健康 儿童健康
背景情况:
- 在儿科护理中,术语"未能壮成长"正在更新为"摇摇欲的体重".
- 目前对体重增加不良的诊断标准缺乏标准化,导致混乱.
- 医疗保健提供者需要更新的指导来管理体重增加不足的儿童.
研究的目的:
- 提供基于证据的临床实践指南,用于诊断和管理体重不稳定的儿童.
- 更新诊断标准使用z分数而不是百分位数.
- 为营养支持和治疗提供建议.
主要方法:
- 美国儿科学会和NASPGHAN的专家小组开发了一份临床实践指南 (CPG).
- 使用推评估,开发和评估 (GRADE) 方法进行证据综合和推制定.
- 通过代的讨论和投票,基于共识的决策.
主要成果:
- 引入了"摇摇欲的体重"作为更新的术语,定义为体重对长度,BMI对年龄和体重增加速度的特定z分数截止值.
- 为临床管理提供了8个关键行动声明和4个良好实践声明.
- 建议增加热量摄入量,口服营养补充剂和儿科饮食障碍治疗.
结论:
- 该指南旨在减少诊断混,并提高确定体重不稳定的儿童的准确性.
- 它旨在减少不必要的实验室和成像测试在体重增加不良的儿童.
- 预计实施将提高医疗保健利用率和体重下降的儿童的结果.
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