CAJ | 학술논문

麦胶性肠病系摄人含麸质食物引起的慢性自身免疫性肠道炎症疾病.以往认为其多发于欧美国家,近年我国报道的病例数逐渐增多,但其诊治现状在国内仍存诸多不足,包括缺乏循证基础,未遵循营养诊疗路径.本文结合国内外相关文献检索和复习,报告基于循证和诊疗路径的l例麦胶性肠病患者营养干预改善临床结局,以期为该病的规范化营养干预提供参考.
맥효성장병계섭인함부질식물인기적만성자신면역성장도염증질병.이왕인위기다발우구미국가,근년아국보도적병례수축점증다,단기진치현상재국내잉존제다불족,포괄결핍순증기출,미준순영양진료로경.본문결합국내외상관문헌검색화복습,보고기우순증화진료로경적l례맥효성장병환자영양간예개선림상결국,이기위해병적규범화영양간예제공삼고.
Celiac disease (CD) is a chronic autoimmune gastrointestinal disorder induced by ingestion of gluten-containing foods.In the past CD was thought prevalent only in Western countries,whereas it has been found common throughout the world and increasing numbers of Chinese patients has been reported recently.However,there are still many deficiencies in management of patients with CD in China and either the diagnosis or the treatment of CD is lacking evidence-based clinical pathway.We report a case of a young woman with CD presenting with chronic diarrhea,abdominal distention,and weight loss,whose outcome was improved by following evidence-based guidelines of medical nutrition therapy.Diagnosis and treatment of the patient was analyzed with review of foreign and domestic literature to provide readers reference of the standardized nutritional intervention of CD.