Canivet C
Vårdcentralen Kroksbäck, Malmö.
Lakartidningen. 2001 Apr 18;98(16):1917-22.
The incidence of infantile colic seems to be diminishing, but 10 per cent of infants are still affected. Several different conditions loom under the umbrella of infantile colic--the most serious of which implies a disturbed parent-infant relationship. The interpretation of infant behaviour is dependent on the cultural context, and thus a "difficult" infant can be apprehended as full of "vivacità"--"liveliness". Some of the recent research focuses on aetiology in the CNS rather than in the gastrointestinal tract. Interventional studies on a population level are required in order to clarify to what extent the elimination of cow's milk protein is a cure for infantile colic. The advice given, for instance at well-baby clinics, to parents with crying infants varies, and should be evaluated systematically.
婴儿腹绞痛的发病率似乎在下降,但仍有10%的婴儿受到影响。在婴儿腹绞痛这一范畴下存在几种不同情况,其中最严重的意味着亲子关系紊乱。对婴儿行为的解读取决于文化背景,因此一个“难带的”婴儿可能被视为充满“活力”——“活泼”。最近的一些研究聚焦于中枢神经系统而非胃肠道的病因。为了弄清楚去除牛奶蛋白在多大程度上能治愈婴儿腹绞痛,需要在人群层面开展干预性研究。例如,在母婴健康诊所给哭闹婴儿的父母提供的建议各不相同,应该进行系统评估。