lvrachЛечащий ВрачLechaschi Vrach1560-51752687-118110.26295/OS.2020.56.41.009lvrach-191Research ArticleСтатьиСмеси на основе частично гидролизованного белка в питании детей первого года с функциональными нарушениями желудочно-кишечного тракта. Взгляд гастроэнPartially hydrolysed protein-based formula for infants with functional GI disorders. Gastroenterologist's point of viewГордееваЕ. А.GordeevaE. A.

Moscow

elena.gordeeva188@gmail.comЕлкинаТ. Н.ElkinaT. N.

Novosibirsk

noemail@neicon.ruСуровикинаЕ. А.SurovikinaE. A.

Moscow

noemail@neicon.ruМедицинский центр «Андреевские больницы-Неболит»РоссияСhildren’s outpatient health care center «Nebolit»Russian FederationФГБОУ ВО НГМУ МЗ РФРоссияNovosibirsk State Medical University Ministry of Health of the Russian FederationRussian FederationФГБОУ ВО НГМУ МЗ РФРоссияСhildren’s outpatient health care center «Nebolit»Russian Federation202023062021094449Copyright © Гордеева Е.А., Елкина Т.Н., Суровикина Е.А., 20212021Гордеева Е.А., Елкина Т.Н., Суровикина Е.А.Gordeeva E.A., Elkina T.N., Surovikina E.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://journal.lvrach.ru/jour/article/view/191

Грудное молоко является идеальным питанием для детей первого года жизни. В случае если грудное вскармливание невозможно, ребенок нуждается в назначении искусственной смеси. Выбор продукта проводится с учетом состояния здоровья младенца. Частые жалобы, с которыми сталкивается гастроэнтеролог в повседневной практике, связаны с гастроинтестинальными нарушениями. Чаще регистрируются функциональные расстройства желудочно-кишечного тракта. Крайне важным является своевременное купирование/лечение гастроинтестинальных симптомов, поскольку потенциальные выгоды от этого подхода очевидны: профилактика развития порочного круга, возможных осложнений и хронизации процесса. Базовой стратегией терапии желудочно-кишечных нарушений у младенцев является коррекция питания. Эмпирическим продуктом выбора в подобных ситуациях могут быть смеси на основе частично гидролизованного белка. Ингредиентный состав смесей этой категории подбирается таким образом, что создаются условия для регуляции желудочно-кишечного тракта. Результаты оценки клинической переносимости смеси показали эффективность в отношении колики и запоров функционального характера у детей первого года жизни: в конце периода наблюдения указанные нарушения не регистрировались у детей, которые получали этот продукт.

Breast milk is ideal nutrition for babies in their first year of life. If breastfeeding is not possible, the child needs to be prescribed an infant formula. The choice of product is based on the health status of the infant. Frequent complaints that a gastroenterologist encounters in everyday practice are associated with gastrointestinal disorders. Functional disorders of the gastrointestinal tract are more often recorded. Timely relief/treatment of gastrointestinal symptoms is extremely important, since the potential benefits of this approach are obvious: prevention of the development of a vicious circle, possible complications and chronicity of the process. The basic strategy for the treatment of gastrointestinal disturbances in infants is nutritional modification, and the empirical product of choice in such situations may be formulas based on partially hydrolyzed protein. The ingredient composition of formula of this category is selected in such a way that conditions are created for the regulation of the gastrointestinal tract. The results of evaluating the clinical tolerance of the formula showed efficacy against colic and functional constipation in children of the first year of life: at the end of the observation period, these disorders were not recorded in children who received this product. 

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The authors declare that there are no conflicts of interest present.