婴幼儿功能性消化不良综合征中西医结合诊疗与管理专家共识

Expert consensus on integrated traditional Chinese and western medicine diagnosis and treatment and management of infantile functional dyspepsia syndrome

摘要

婴幼儿功能性消化不良综合征是0～3 岁儿童常见消化系统证候群, 临床以食欲下降、嗳气腹胀、干呕呕吐、反复哭闹腹痛及排便异常为主要表现, 严重影响患儿生长发育与生活质量。中西医在治疗与管理方面均具有一定优势, 国家重大疑难病儿童功能性消化不良中西医临床协作项目组联合国内消化领域中西医专家、小儿推拿及外治专家、方法学专家共同制定本共识。共识基于中西医互参理念, 明确本病诊断标准与中医辨证要点, 构建以顾护脾胃为核心的综合干预体系。西医以营养管理、喂养指导为主, 推荐合理配方奶与科学辅食添加；中医以小儿推拿、穴位贴敷、食疗为主要手段, 同时配合个体化养护指导。本共识为临床规范化诊疗与家庭照护提供依据, 对提升本病中西医结合诊疗水平具有重要指导价值。

Abstract

Infantile functional dyspepsia syndrome is a common syndrome complex of digestive system in children aged 0 to 3 years. Clinically, it is mainly characterized by such symptoms as decreased appetite, belching and abdominal distension, retching or vomiting, repeated crying, abdominal pain, and abnormal defecation, which seriously affect the growth, development and quality of life of infants. Both traditional Chinese medicine (TCM) and western medicine have certain advantages in the treatment and management of this disease. Led by the National Clinical Collaboration Group for Integrated Traditional Chinese and Western Medicine on Pediatric Functional Dyspepsia—a major difficult disease program, the consensus was developed through cooperation with integrated TCM and western medicine experts in pediatric gastroenterology, experts in pediatric Tuina and external therapy, and experts in methodology. Based on the concept of integrating TCM and western medicine, this consensus clarifies the diagnostic criteria and key points of TCM syndrome differentiation, and establishes a comprehensive intervention system centered on protecting and reinforcing the spleen and stomach. Western medicine focuses on nutritional management and feeding guidance, recommending appropriate formula milk and scientific complementary feeding. TCM interventions mainly include pediatric Tuina, acupoint application, and dietary therapy, combined with personalized care guidance. This consensus provides a basis for standardized clinical diagnosis, treatment and family care, which is of great significance in increasing the level of integrated TCM and western medicine in the management of this disease.

关键词

婴幼儿功能性消化不良综合征 / 中西医结合 / 专家共识

Key words

Infantile functional dyspepsia syndrome / Integrated traditional Chinese and western medicine / Expert consensus

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