中国实用儿科杂志 ›› 2026, Vol. 41 ›› Issue (2): 89-94.DOI: 10.19538/j.ek2026020601

• 指南·标准·共识 •    下一篇

中西医结合治疗婴幼儿功能性消化不良综合征专家共识

  

  1. 执笔:叶丽萍,龚四堂,罗菲,许华
    核心指导专家(按单位和姓名首字拼音排序):北京中医药大学(高学敏);广州医科大学附属妇女儿童医疗中心(耿岚岚);河南中医药大学第一附属医院(丁樱);空军军医大学第二附属医院(王宝西);上海交通大学医学院附属瑞金医院(许春娣);云南中医药大学第一附属医院(熊磊);浙江大学医学院附属儿童医院(江米足)
    制订专家(按单位和姓名首字拼音排序):安徽省儿童医院(李传应);北京大学第三医院 ( 李在玲 );北京清华长庚医院 ( 徐樨巍 );北京中医药大学(高学敏);北京中医药大学东方医院 ( 吴力群 );北京中医药大学东直门医院 ( 尹丹 );重庆医科大学附属儿童医院 ( 符州 , 赵晓东 );电子科技大学医学院附属成都市妇女儿童中心医院 ( 谢晓丽 );佛山市妇幼保健院(高修安);广东省中医院( 温泽淮 , 杨京华 );广州医科大学附属妇女儿童医疗中心 ( 程旸,耿岚岚,龚四堂 , 叶丽萍 );广州中医药大学第一附属医院(罗菲,许华);贵阳市妇幼保健院(朱莉);贵州中医药大学第二附属医院(彭玉);邯郸市第一医院(时晓);河南省儿童医院(李小芹);河南中医药大学第一附属医院(丁樱,闫永彬);湖南省儿童医院(游洁玉,赵红梅);华中科技大学同济医学院附属同济医院(黄志华,舒赛男);空军军医大学第二附属医院(王宝西);南方医科大学附属广东省人民医院(杨敏);南京医科大学附属儿童医院(金玉,刘志锋);山东大学附属儿童医院(李华);山东中医药大学附属医院(张葆青);上海交通大学医学院附属瑞金医院(许春娣);深圳市儿童医院(王朝霞);首都医科大学附属北京儿童医院(吴捷,谢正德,闫慧敏);首都医科大学附属首都儿童医学中心(钟雪梅);天津市儿童医院 / 天津大学儿童医院(赵煜);天津医科大学第二医院(刘长山);天津中医药大学第一附属医院(胡思源,马融,戎萍);武汉儿童医院(彭罕鸣,王丹);云南中医药大学第一附属医院(熊磊);浙江大学医学院附属第四医院(李中跃);浙江大学医学院附属儿童医院(江米足);中国医科大学附属盛京医院(毛志芹);中国中药协会(王桂华);中国中药协会儿童健康与药物研究专业委员会(李磊,孙媛媛,王建新,甄会)
  • 出版日期:2026-02-06 发布日期:2026-03-13
  • 通讯作者: 龚四堂,电子信箱:sitangg@126.com;许华,电子信箱:xuhua212@126.com;吴捷,电子信箱:wujie@bch.com.cn;马融,电子信箱:mr1974@163.com

Expert consensus on integrated traditional Chinese and Western medicine for the treatment of functional dyspepsia syndrome in infants and toddlers

  • Online:2026-02-06 Published:2026-03-13

摘要: 婴幼儿功能性消化不良综合征是婴幼儿常见的消化道问题,由生长发育不全和肠道菌群尚未完善所致,除喂养指导、非药物干预以外,尚缺乏有效的干预方法。为解决此问题,项目组组织多学科专家团队,聚焦婴幼儿功能性消化不良综合征的中西医结合治疗方案。婴幼儿功能性消化不良综合征以食欲下降、嗳气、腹胀、肛门排气增多、干呕呕吐、反复哭闹腹痛及排便异常为主要表现,中医将其归属于“积滞”“厌食”等范畴,辨证分为虚证、实证、虚实夹杂证三类。共识明确治疗以喂养指导、非药物干预为主,必要时结合药物与外治疗法。健康教育需向看护人讲解疾病机制与预后,缓解其焦虑情绪。养护指导强调营造舒适喂养环境,做好婴幼儿腹部保暖,配合抚触、拍嗝等操作。针对不同症状,需选择相应治疗方法、药物和外治疗法。该共识基于中西医理论与循证证据制定,充分整合两者优势,为婴幼儿功能性消化不良综合征的规范化治疗提供了全面参考。

关键词:

Abstract: Functional dyspepsia syndrome in infants and toddlers is a common gastrointestinal issue, resulting from incomplete physiological development and immature intestinal flora. Apart from feeding guidance and non pharmacological interventions, effective treatment options remain limited. To address this problem, a multidisciplinary expert team was organized to develop an integrated traditional Chinese and Western medicine therapeutic approach for functional dyspepsia syndrome in infants and toddlers.The main clinical manifestations include poor appetite, belching, abdominal distension, increased flatulence,dry retching,vomiting, recurrent crying,abdominal pain, and abnormal bowel movements. In traditional Chinese medicine, it is categorized under “food accumulation (jī zhì)” and “anorexia (yàn shí),” and can be differentiated into three patterns: deficiency syndrome, excess syndrome, and deficiency excess complex syndrome.The consensus emphasizes that treatment should prioritize feeding guidance and non pharmacological interventions, supplemented by medication and external therapies when necessary. Health education should explain the mechanism and prognosis of this syndrome to caregivers to alleviate their anxiety. Nursing guidance highlights creating a comfortable feeding environment, keeping the infant’s abdomen warm, and incorporating techniques such as gentle massage and burping. For different symptoms, corresponding treatment methods, medications, and external therapies should be selected.This consensus is formulated based on both traditional Chinese and Western medical theories as well as evidence based practice, fully integrating the advantages of both systems to provide a comprehensive reference for the standardized management of functional dyspepsia syndrome in infants and toddlers.

Key words: infantile functional dyspepsia syndrome, integrated traditional Chinese and Western medicine, accumulation and stagnation, feeding guidance, health education