克罗恩病排除饮食在儿童克罗恩病中的应用

The Application of Crohn’s Disease Exclusion Diet in Children with Crohn’s Disease

儿童克罗恩病(CD)的发病率不断升高,饮食在克罗恩病的发生发展中起着重要作用,且克罗恩病患儿易出现营养不良问题,营养治疗显得尤为重要。指南推荐将全肠内营养(EEN)作为一线诱导缓解方案,但EEN具有不耐受等问题,克罗恩病排除饮食(CDED)联合部分肠内营养(PEN)具有比EEN耐受性好等优势,是目前的研究热点。本文旨在对CDED联合PEN在儿童克罗恩病中的应用进行阐述,为营养治疗在儿童克罗恩病中的应用提供新的思路。

The incidence of Crohn’s disease (CD) in children is increasing, diet plays an important role in the occurrence and development of Crohn’s disease, and children with Crohn’s disease are prone to malnutrition, and nutrition therapy is particularly important. Guidelines recommend exclusive enteral nutrition (EEN) as a first-line regimen to induce remission, but there is a problem with EEN that is not tolerated. Crohn’s disease exclusion diet (CDED) with partial enteral nutrition (PEN) has the advantage of better tolerance than EEN, and is a research hotspot. This article aims to elaborate the application of CDED with PEN in children with Crohn’s disease, and to provide new ideas for the application of nutrition therapy in children with Crohn’s disease.