婴幼儿喂养问题早期评估和综合干预探讨

Early evaluation and combined interventions of infant feeding problems

【目的】研究婴幼儿期喂养问题的早期评估和综合干预，探索评价喂养障碍的有效方法及建立儿童综合治疗模式。【方法】选取2007年1月-2009年5月在本院定期体检、接受健康咨询的的805名健康儿童（0～36月龄），对他们实施喂养行为综合干预前后的喂养行为调查表评分、体格生长变化进行研究。【结果】6～24月龄是儿童喂养问题发生的高峰期。采取包括家长咨询、膳食指导、口腔功能训练、喂养行为矫正等在内的综合干预可以显著改善儿童不良喂养行为，促进体重增长。【结论】喂养问题在婴幼儿生命早期就普遍存在，建立合理的临床早期诊断和评估模式，进行综合干预，可以预防婴幼儿生长发育偏离。

[Objective] To investigate how to evaluate infant feeding problems and make comprehensive strategies of treatment. [Method] 805 healthy children without organic diseases were picked during 2007.1--2009.5 to compare the differences of their feeding behavior questionare and physical growth before and after interventions. [ Results] 6 - 24 months was the crest-time during which feeding problems would appear. Combined interventions of family consulation, diet guidance, oral function training and feeding behavior modification will obviously improve poor feeding behavior, thus to promote weight growth. [Conclusions] Feeding problems occurs widespreadly in early life during infancy. Combined methods are taken to prevent the growth deviation caused by poor feeding.