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王玉山医师(276300山东省沂南县人民医院小儿科)问:拜读贵刊2006年第2期《小儿胃食管反流病诊断治疗方案(试行)》,其中关于体位治疗提到:“婴儿采用仰卧位,年长儿左侧卧位。”而在杨锡强主编的全国高等学校教材《儿科学》中关于体位治疗提到:新生儿和小婴儿的最好体位为前倾俯卧位,上身抬高30度。儿童在清醒状态下最佳体位为直立位和坐位,睡眠时保持右侧卧位,将床头抬高20～30 cm,以促进胃的排空,减少反流频率及反流物误吸。两者比较有矛盾之处,在临床工作中到底以哪个为标准,请给予解答为盼。江米足医师(310003浙江大学医学院附属儿童医院消化科)答:有关体位治疗方案与《儿科学》教材中的提法不一致,
Wang Yushan (276300 People’s Hospital of Shandong Province Yinan County Pediatrics) Q: Read your magazine in 2006 No. 2 “Diagnosis and Treatment of Pediatric Gastroesophageal Reflux Disease Program (Trial)”, which referred to the body position treatment: “The baby supine Position, older children in the left lateral position. ”And in the national higher school teaching“ Pediatrics ”edited by Yang Xiqiang on the position treatment mentioned: the best position for newborns and young babies is leaning forward prone position, upper body elevation 30 degree. Children in the awake state, the best position for the upright position and sitting, sleep to maintain the right lateral position, the bed elevation 20 ~ 30 cm, to promote gastric emptying, reduce the frequency of reflux and reflux aspiration. The more contradictory between the two, in the end in clinical work as a standard, please give answers to hope. Jiang meters foot physician (310003 Zhejiang University School of Medicine Children’s Hospital Gastroenterology) A: The treatment of position and “Pediatrics” teaching materials inconsistent references,