食物蛋白相关性小肠结肠炎综合征儿童的护理

Nursing Care of Children with Food Protein-induced Enterocolitis Syndrome

目的:总结13例食物蛋白相关性小肠结肠炎综合征(FPIES)患儿的护理,为临床护理工作提供参考。方法:2007年6月～2010年12月在湖北省妇幼保健院儿内科确诊的FPIES患儿共13例。所有患儿均给予对症治疗、针对性护理并指导喂养。结果:7例患儿存在水电解质失衡及酸碱平衡紊乱予补液治疗,10例牛奶过敏者予氨基酸配方奶喂养,余3例患儿予避免过敏食物治疗,并指导家长阅读食物成分说明。10例牛奶过敏者均于12月龄～25月龄时耐受(69.2%),其余患儿仍在随访中。结论:FPIES预后好,临床上需要维持水电解质平衡,采用个体化护理及指导喂养对FPIES患儿有十分重要的意义。

Objective. To summarize nursing measures for children with food protein-induced enterocolitis syndrome （FPIES）, and to provide a basis for clinical nurses. Methods： A total of 13 children with the diag- nosis of FPIES from Jun. 2007 to Dec. 2010 were selected. All children received symptomatic therapy and in- dividual nursing and avoided allergic food. Results： Seven children with water-electrolyte imbalance received fluid therapy. The children with cow milk＇s protein allergy medicated with amino-acid fomula. The other 3 children avoided allergic food. Their nursing care plan included guiding parents reading the composition of food. The children with cow milk＇s protein allergy tolerated at the age of 12 to 25 months, the other children are still following up. Conclusion： The prognosis of FPIES in children is good. It is important to keep balance of water-electrolyte, individual nursing care and guide of feeding mode.