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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">perinatology</journal-id><journal-title-group><journal-title xml:lang="ru">Российский вестник перинатологии и педиатрии</journal-title><trans-title-group xml:lang="en"><trans-title>Rossiyskiy Vestnik Perinatologii i Pediatrii (Russian Bulletin of Perinatology and Pediatrics)</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1027-4065</issn><issn pub-type="epub">2500-2228</issn><publisher><publisher-name>Ltd. “The National Academy of Pediatric Science and Innovation”</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.21508/1027-4065-2016-61-1-90-95</article-id><article-id custom-type="elpub" pub-id-type="custom">perinatology-7</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОБМЕН ОПЫТОМ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>SHARING EXPERIENCES</subject></subj-group></article-categories><title-group><article-title>Оптимизация лечения неврологических заболеваний у детей с помощью алиментарной коррекции</article-title><trans-title-group xml:lang="en"><trans-title>Optimization of nutritional correction treatment for neurological disorders in children</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Текебаева</surname><given-names>Л. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Tekebaeva</surname><given-names>L. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>к.м.н., зав. отделением психоневрологии</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Джаксыбаева</surname><given-names>А. Х.</given-names></name><name name-style="western" xml:lang="en"><surname>Dzhaksybaeva</surname><given-names>A. Kh.</given-names></name></name-alternatives><bio xml:lang="ru"><p>д.м.н., директор по стратегическому развитию</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Байгазиева</surname><given-names>Л. Б.</given-names></name><name name-style="western" xml:lang="en"><surname>Baigazieva</surname><given-names>L. B.</given-names></name></name-alternatives><bio xml:lang="ru"><p>врач-невролог</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ризаметов</surname><given-names>И. Х.</given-names></name><name name-style="western" xml:lang="en"><surname>Rizametov</surname><given-names>I. Kh.</given-names></name></name-alternatives><bio xml:lang="ru"><p>врач-невролог</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Жаныбекова</surname><given-names>С. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Zhanybekova</surname><given-names>S. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>диетолог</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Кенжегулова</surname><given-names>Р. Б.</given-names></name><name name-style="western" xml:lang="en"><surname>Kenzhegulova</surname><given-names>R. B.</given-names></name></name-alternatives><bio xml:lang="ru"><p>невролог-нейрофизиолог</p></bio><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Национальный научный центр материнства и детства, Астана</institution><country>Казахстан</country></aff><aff xml:lang="en"><institution>National Research Center for Maternal and Child Health, Astana</institution><country>Kazakhstan</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2016</year></pub-date><pub-date pub-type="epub"><day>26</day><month>02</month><year>2016</year></pub-date><volume>61</volume><issue>1</issue><fpage>90</fpage><lpage>95</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Ltd. “The National Academy of Pediatric Science and Innovation”, 2016</copyright-statement><copyright-year>2016</copyright-year><copyright-holder xml:lang="ru">Ltd. “The National Academy of Pediatric Science and Innovation”</copyright-holder><copyright-holder xml:lang="en">Ltd. “The National Academy of Pediatric Science and Innovation”</copyright-holder><license xlink:href="https://www.ped-perinatology.ru/jour/about/submissions#copyrightNotice" xlink:type="simple"><license-p>https://www.ped-perinatology.ru/jour/about/submissions#copyrightNotice</license-p></license></permissions><self-uri xlink:href="https://www.ped-perinatology.ru/jour/article/view/7">https://www.ped-perinatology.ru/jour/article/view/7</self-uri><abstract><p>Представлены результаты проведения исследовательского проекта в отделении неврологии раннего возраста, который показал актуальность нутритивной реабилитации у детей с детским церебральным параличом в возрасте от 3 мес до 5 лет. У 30 наблюдавшихся пациентов изучены причины нарушения питания, произведена оценка и коррекция нутритивного статуса, показана эффективность осуществленных мероприятий. Коррекция питания, проводимая диетологом, совмещалась с такими нехирургическими вмешательствами, как позиционирование, решение о переходе на назогастральный зонд и работа с матерью. Для введения прикорма были выбраны продукты «ФрутоНяня», так как данная продукция обладает низкой иммуногенностью, не вызывает аллергических реакций и может быть использована как в питании детей из групп высокого риска, так и в составе лечебных диет у пациентов с различными заболеваниями. В результате нами зарегистрировано увеличение массы тела детей в среднем на 305 г в течение 7–10-дневного пребывания в стационаре, при среднем дефиците массы тела 28%; улучшение показателей эмоционального статуса пациентов и ухаживающих лиц на 2–3 балла по 5 балльной шкале; выявлено улучшение эмоционального тонуса (у 75%), процессов жевания (у 28%), глотания (у 35%), снижение частоты эпизодов рефлюкса (у 19%), уменьшение стресса у ухаживающих лиц (у 86%).</p></abstract><trans-abstract xml:lang="en"><p>The paper gives the results of a study project at the Infant Neurology Department, which has shown the urgency of nutritional rehabilitation in children aged 3 months to 5 years with infantile cerebral paralysis. Thirty patients were followed up to study the causes of malnutrition, to assess and correct their nutritional status, and to show the efficiency of the measures implemented. A diet corrected by a nutritionist was combined with nonsurgical interventions, such as positioning, a decision on the transition to nasogastric tube feeding, and maternal work. The complementary foods were FrutoNyanya products as the latter are low-immunogenic, cause no allergic reactions, and may be used both in the feeding of high-risk group children and as ingredients of a therapeutic diet for patients with different diseases. This resulted in 305-g weight gain within 7-10 day of hospital stay in those whose underweight averaged 28%. The emotional status of the patients and their caregivers was improved by 2-3 scores on 5-point rating scale. There were improvements in their emotional tone (in 75%), chewing (in 28%), and swallowing (in 35%) and reductions in reflux episodes (in 19%) and stress in the caregivers (in 86%).</p></trans-abstract><kwd-group xml:lang="ru"><kwd>дети</kwd><kwd>детская неврология</kwd><kwd>ДЦП</kwd><kwd>нутритивная коррекция</kwd><kwd>нейродиетология</kwd></kwd-group><kwd-group xml:lang="en"><kwd>children</kwd><kwd>pediatric neurology</kwd><kwd>infantile cerebral paralysis</kwd><kwd>nutritional correction</kwd><kwd>neurodietology</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">http://www.asha.org/public/speech/swallowing/feedingand- swallowing-disorders-in-children/</mixed-citation><mixed-citation xml:lang="en">http://www.asha.org/public/speech/swallowing/feedingand- swallowing-disorders-in-children/</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2851259/</mixed-citation><mixed-citation xml:lang="en">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2851259/</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">http://www.birthinjuryguide.org/</mixed-citation><mixed-citation xml:lang="en">http://www.birthinjuryguide.org/</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Greer A.J., Gulotta C.S., Masler E.A. et al. 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