未修复口面裂儿童营养不良:一项系统综述

International Journal of Public Health and Clinical Sciences Pub Date : 2019-07-05 DOI:10.32827/ijphcs.6.3.67

D. A. Nyakotey, C. Apprey, R. Annan

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引用次数: 2

摘要

背景:口腔解剖缺陷的口腔腭裂儿童提出了喂养的挑战，增加了他们成为营养不良的风险。本综述的目的是调查5岁以下未修复唇裂和/或腭裂儿童营养不良的程度。材料和方法:对已发表的评估未修复唇裂和/或腭裂儿童营养不良的文章进行系统的文献检索。检索Pubmed Central、Cochrane library、Pubmed (MEDLINE)和Google Scholar数据库。结果:共检索到4489篇论文，其中8篇符合纳入标准。孤立性腭裂和唇腭裂患儿营养不良发生率高于营养状况与非唇裂患儿相近的孤立性唇裂患儿。综合征性唇裂婴儿与非综合征性唇裂婴儿相比营养严重不良。年龄体重是营养状况评估最多的人体测量指标。体重不足的平均患病率(低于年龄体重)为21.5%。结论:唇腭裂患儿营养不良发生率较高，特别是在一岁以内。关键词:唇腭裂;营养不良;生长障碍

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MALNUTRITION IN CHILDREN WITH UNREPAIRED OROFACIAL CLEFT: A SYSTEMATIC REVIEW

Background: The anatomical defect of the oral cavity in children with orofacial clefts presents them with feeding challenges which increase their risk of becoming malnourished. The objective of this review was to investigate the extent of malnutrition among children under 5 years with unrepaired cleft of the lip and/ or palate. Materials and Methods: A systematic literature search of published articles that assessed malnutrition in children with unrepaired cleft lip and/or palate was conducted. Pubmed Central, Cochrane library, Pubmed (MEDLINE) and Google Scholar databases were searched. Result: A total of 4,489 papers were found of which 8 were included in the review after meeting the inclusion criteria. Malnutrition was found to be higher in isolated cleft palate and cleft lip and palate infants than in isolated cleft lip infants who had nutritional status close to that of non-cleft infants. Syndromic cleft infants were highly malnourished compared to non-syndromic infants. Weight-for-age was the most assessed anthropometric indicator of nutritional status. Average prevalence of underweight (low weight-for-age) was 21.5%. Conclusion: Malnutrition is high especially within the first year of life in infants with unrepaired cleft lip and/or palate. Keywords: Cleft lip and palate, malnutrition, growth impairment, failure to thrive

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International Journal of Public Health and Clinical Sciences

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