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婴儿腹绞痛:发生率及危险因素

Infantile colic: occurrence and risk factors.

作者信息

Ståhlberg M R

出版信息

Eur J Pediatr. 1984 Dec;143(2):108-11. doi: 10.1007/BF00445796.

Abstract

The purpose of this work was to study the appearance of infantile colic and gas discomfort and to learn whether these problems are associated with factors in the child's social environment, allergic symptoms, or feeding. The study was made retrospectively by means of a questionnaire which was sent to mothers of every tenth child aged 14 to 38 months in Turku, Finland. Forty percent of the children, as many boys as girls, had colic or gas problems in early infancy, so severe in 20% that drug therapy was used. First born children in the family more often had colic and gas problems than did subsequent children. Siblings of colicky children had colic and gas problems more often than did siblings of the children who had no colic or gas problems. Neither family history or symptoms of allergy, duration of breast-feeding, mother's consumption of plain cow's milk during lactation, nor the age of introduction of cow's milk to the child were associated with the occurrence of colic. Children with colic grew as well as children without. However, their night sleep was more often disturbed by awakenings than the night sleep of children without colic or gas problems in early infancy.

摘要

这项研究的目的是探究婴儿腹绞痛和肠胃胀气不适的表现,并了解这些问题是否与儿童社会环境因素、过敏症状或喂养方式有关。该研究通过问卷调查进行回顾性研究,问卷被发送给芬兰图尔库每十个14至38个月大儿童的母亲。40%的儿童在婴儿早期出现腹绞痛或肠胃胀气问题,男孩和女孩的比例相同,其中20%的情况严重到需要药物治疗。家庭中的头胎儿童比后续出生的儿童更常出现腹绞痛和肠胃胀气问题。患有腹绞痛儿童的兄弟姐妹比没有腹绞痛或肠胃胀气问题儿童的兄弟姐妹更常出现此类问题。家族病史、过敏症状、母乳喂养时长、母亲在哺乳期饮用纯牛奶的情况,以及给孩子引入牛奶的年龄,均与腹绞痛的发生无关。患有腹绞痛的儿童与没有腹绞痛的儿童生长情况相同。然而,在婴儿早期,他们的夜间睡眠比没有腹绞痛或肠胃胀气问题的儿童更常因醒来而受到干扰。

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