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减少因婴儿腹绞痛引起的哭闹发作:一项关于新型婴儿配方奶粉功效的随机对照研究。

Reduction of crying episodes owing to infantile colic: A randomized controlled study on the efficacy of a new infant formula.

作者信息

Savino F, Palumeri E, Castagno E, Cresi F, Dalmasso P, Cavallo F, Oggero R

机构信息

Department of Paediatrics, University of Turin, Turin, Italy.

出版信息

Eur J Clin Nutr. 2006 Nov;60(11):1304-10. doi: 10.1038/sj.ejcn.1602457. Epub 2006 May 31.

Abstract

OBJECTIVES

The aim of this study was to evaluate the efficacy on crying episodes owing to infantile colic of a new infant formula containing partially hydrolysed whey proteins, prebiotic oligosaccharides (OS), with a high beta-palmitic acid content.

DESIGN

Prospective randomized controlled study.

SETTING

Italy.

SUBJECTS

Two hundred and sixty-seven formula-fed infants, aged less than 4 months, with infantile colic, were randomized to receive either the new infant formula (study treatment (ST)) or a standard formula and simethicone (6 mg/kg twice a day) (control treatment (CT)). A questionnaire was given to parents to evaluate for 14 days the daily number of colic episodes and crying time.

RESULTS

Out of the 199 infants who completed the study, 96 were treated with the new formula and 103 were not treated. Infants receiving the new formula had a significant decrease in colic episodes after 1 week (2.47+/-1.94 at day 7 vs 5.99+/-1.84 at the study entry) compared to infants receiving the CT (3.72+/-1.98 at day 7 vs 5.41+/-1.88 at the study entry) (P < 0.0001). Also at day 14, the crying episodes were significantly different between the two groups of infants (1.76+/-1.60 in ST vs 3.32+/-2.06 in CT) (P < 0.0001).

CONCLUSIONS

The use of a partially hydrolysed formula supplemented with fructo- and galacto-OS induces a reduction of crying episodes in infants with colic after 7 and 14 days when compared with a standard formula and simethicone.

摘要

目的

本研究旨在评估一种含有部分水解乳清蛋白、益生元低聚糖(OS)且β-棕榈酸含量高的新型婴儿配方奶粉对婴儿腹绞痛所致哭闹发作的疗效。

设计

前瞻性随机对照研究。

地点

意大利。

受试者

267名4个月以下患有婴儿腹绞痛的配方奶粉喂养婴儿,随机分为接受新型婴儿配方奶粉(研究治疗组(ST))或标准配方奶粉加西甲硅油(每日两次,每次6mg/kg)(对照治疗组(CT))。向家长发放问卷,评估14天内每日腹绞痛发作次数和哭闹时间。

结果

在完成研究的199名婴儿中,96名接受了新型配方奶粉治疗,103名未接受治疗。与接受对照治疗的婴儿相比,接受新型配方奶粉的婴儿在1周后腹绞痛发作次数显著减少(第7天为2.47±1.94次,而研究开始时为5.99±1.84次)(对照治疗组第7天为3.72±1.98次,研究开始时为5.41±1.88次)(P<0.0001)。同样在第14天,两组婴儿的哭闹发作次数也有显著差异(研究治疗组为1.76±1.60次,对照治疗组为3.32±2.06次)(P<0.0001)。

结论

与标准配方奶粉加西甲硅油相比,使用添加了果寡糖和半乳寡糖的部分水解配方奶粉可使腹绞痛婴儿在7天和14天后哭闹发作次数减少。

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