Department of Paediatrics, Faculty of Medicine, University of Khartoum, Khartoum, Sudan.
Ital J Pediatr. 2012 Jul 23;38:34. doi: 10.1186/1824-7288-38-34.
Infantile colic is one of the major challenges of parenthood. It is one of the common reasons parents seek medical advice during their child's first 3 months of life. It is defined as paroxysms of crying lasting more than 3 hours a day, occurring more than 3 days in any week for 3 weeks in a healthy baby aged 2 weeks to 4 months. Colic is a poorly understood phenomenon affecting up to 30% of babies, underlying organic causes of excessive crying account for less than 5%. Laboratory tests and radiological examinations are unnecessary if the infant is gaining weight normally and has a normal physical examination. Treatment is limited and drug treatment has no role in management. Probiotics are now emerging as promising agents in the treatment of infantile colic. Alternative medicine (Herbal tea, fennel, glucose and massage therapy) have not proved to be consistently helpful and some might even be dangerous. In conclusion infantile colic is a common cause of maternal distress and family disturbance, the cornerstone of management remains reassurance of parents regarding the benign and self-limiting nature of the illness. There is a critical need for more evidence based treatment protocols.
婴儿腹绞痛是父母养育孩子的主要挑战之一。这也是父母在孩子出生后前 3 个月寻求医疗建议的常见原因之一。它被定义为健康婴儿在 2 周至 4 个月大时，每天持续哭泣超过 3 小时，每周超过 3 天，持续 3 周。腹绞痛是一种尚未被充分理解的现象，影响多达 30%的婴儿，其根本的、导致过度哭泣的器质性原因不到 5%。如果婴儿体重正常且体检正常，则无需进行实验室检查和影像学检查。治疗方法有限，药物治疗在管理中没有作用。益生菌现在作为治疗婴儿腹绞痛的有前途的药物出现。替代疗法（草药茶、茴香、葡萄糖和按摩疗法）并没有被证明始终有效，有些甚至可能是危险的。总之，婴儿腹绞痛是导致母亲痛苦和家庭困扰的常见原因，管理的基石仍然是让父母放心，这种疾病是良性的且具有自限性。迫切需要更多基于证据的治疗方案。
