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基于4004位家长的经验和看法对一种婴儿腹绞痛治疗方法的真实世界评估。

A real world evaluation of a treatment for infant colic based on the experience and perceptions of 4004 parents.

作者信息

Goldman Martin, Beaumont Tricia

机构信息

Chief Medical Officer, Iatros Consulting, London.

Director of WeThink and Consultant to Teva UK, London.

出版信息

Br J Nurs. 2017 Mar 1;26(5 Suppl 1):S3-S10. doi: 10.12968/bjon.2017.26.Sup5.S3.

DOI:10.12968/bjon.2017.26.Sup5.S3
PMID:28350192
Abstract

Infant colic (IC) is a common condition in young babies seen by primary care health professionals, especially health visitors. Nevertheless, the diagnostic criteria for IC are vague, which has resulted in a lack of clarity in published guidance on its causes and treatment. Credence has been given to alternative therapies, while health professionals are sceptical about the efficacy of over-the-counter treatments. Some 4004 parents of babies considered to have IC participated in this retrospective real world evidence study on the efficacy of a simeticone suspension in the treatment of IC. They were recruited via social media sources and were eligible for inclusion if their baby had received at least one dose of the simeticone suspension. Data were collected via an online questionnaire. The results showed that crying and discomfort-associated behaviour reduced and the babies' sleeping patterns improved following use of the suspension. More than two-thirds (69.7%) of respondents, who either used the suspension on its own or alongside another treatment, reported improvements in the signs of IC within one day. Almost all (93.2%) considered that its use was associated with either complete resolution of IC or had some effect on symptoms.

摘要

婴儿腹绞痛(IC)是初级保健卫生专业人员,尤其是健康访视员所见到的幼儿常见病症。然而,IC的诊断标准尚不明确,这导致关于其病因和治疗的已发表指南缺乏清晰度。替代疗法已得到认可,而卫生专业人员对非处方治疗的疗效持怀疑态度。约4004名被认为患有IC的婴儿的家长参与了这项关于西甲硅油悬浮液治疗IC疗效的回顾性真实世界证据研究。他们通过社交媒体渠道招募,如果其婴儿至少接受过一剂西甲硅油悬浮液,则有资格纳入研究。数据通过在线问卷收集。结果显示,使用该悬浮液后,与哭闹和不适相关的行为减少,婴儿的睡眠模式得到改善。超过三分之二(69.7%)的受访者,无论是单独使用该悬浮液还是与其他治疗方法一起使用,均报告在一天内IC症状有所改善。几乎所有(93.2%)的受访者认为使用该悬浮液要么使IC完全缓解,要么对症状有一定效果。

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