6～24月龄婴幼儿喂养困难综合干预研究

Study on the effect of comprehensive intervention on feeding difficulties of infants and young children aged 6-24 months

目的研究6～24个月婴幼儿喂养困难综合干预有效方法,为临床干预提供操作依据。方法选取2017年1-6月份首次以喂养困难问题就诊的6～24月龄婴幼儿170例,其中男90例,女80例,进行3个月的临床干预。在干预前后对其身高体重、神经心理发育水平以及喂养困难评估量表(MCH-FS)进行评估。结果干预后婴幼儿体重在P_(25)～P_(75)的例数由28.2%上升到56%,智商发育指数(MDI)>85分的比例由44%上升到73%,运动发育指数(PDI)>85分的比例由39%上升到78%,无喂养障碍的比例由0上升到24.7%,重度喂养困难的例数由12.4%下降到5.4%,差异均有统计学意义(P<0.05)。结论喂养困难的干预是一个集心理、生理及社会综合因素的干预过程,综合干预有效。

Objective To explore an effective method for comprehensive intervention of feeding difficulties in infants and young children aged 6 to 24 months,in order to provide operational basis for clinical practice. Methods Totally 170 infants aged 6-24 months with chief complaint of feeding difficulties for the first visit were enrolled in this study to receive clinical intervention for 3 months from January to June in 2017,including 90 males and 80 females. The height,weight,neuropsychological development was collected,and Feeding Difficulty Assessment Scale(MCH-FS) was used to evaluate symptoms before and after intervention. Results After intervention,the percentage of weight within P25-P75 interval increased from 28.2% to 56%,the percentage of mental development index(MDI) >85 increased from 44% to 73%,and the percentage of psychomotor development index(PDI) >85 arose from 39% to 78%.Meantime,the number of infants without feeding disorders increased from 0 to 24.7%,but severe feeding difficulties significantly decreased from 12.4% to 5.4%(P<0.05). Conclusion The comprehensive intervention,which integrates psychological,physiological and social factors,is effective for feeding difficulties.