Abstract: To summarize the nursing care of 20 children with very early onset inflammatory bowel disease （IBD）during the active period. In response to the specific situations of patients,including the early onset of IBD,negative consequences of IBD on growth and development,the penetration of inflammatory lesions and the formation of fistulas,the difficulty of intestinal preparation when evaluating the drug response,and the high level of psychological pressure of family members due to life-long duration of IBD,the nursing measures were taken. Early nutritional management was adopted to improve the prognosis of the disease. Standardized application of biological agents and prevention of anaphylactic shock were conducted. Skin care was strengthened when fistula formed,intestinal preparation was improved to evaluate the treatment effects. The nurses also completed the health guidance and follow-up to improve treatment compliance. After active symptomatic treatment and nursing,all the children were improved and discharged.

Key words: Inflammatory Bowel Disease, Growth Disorders, Nutritional Support, Critical Care Nursing