Parkin P C, Schwartz C J, Manuel B A
Department of Paediatrics, University of Toronto, Ontario, Canada.
Pediatrics. 1993 Aug;92(2):197-201.
The objective of this study was to evaluate the effectiveness of three methods in the management of infantile colic.
Healthy infants with persistent crying were randomly assigned to one of three groups for a 2-week period. All groups received an assessment and reassurance from a pediatrician and support from a public health nurse. Group 1 also received counseling regarding specific management techniques. Group 2 also received a car-ride simulation device. Group 3 acted as a control. Mothers completed crying diaries and preintervention and postintervention anxiety questionnaires.
Thirty-eight mother-infant pairs were enrolled. Combining all three groups, there was a 24% reduction in daily hours of crying (P = .01) and a 18% improvement in maternal anxiety (P < .001), but no significant difference among groups.
The natural history of persistent crying of infancy is improvement over time. These specific interventions proved no better than reassurance and support alone in decreasing daily hours of crying and maternal anxiety.
本研究的目的是评估三种方法在治疗婴儿腹绞痛方面的有效性。
将持续哭闹的健康婴儿随机分为三组，为期2周。所有组都接受了儿科医生的评估和安慰，并得到了公共卫生护士的支持。第1组还接受了关于特定管理技术的咨询。第2组还获得了乘车模拟装置。第3组作为对照组。母亲们完成了哭闹日记以及干预前和干预后的焦虑问卷。
共招募了38对母婴。综合三组来看，每日哭闹时长减少了24%（P = .01），母亲的焦虑情绪改善了18%（P < .001），但各组之间无显著差异。
婴儿持续哭闹的自然病程会随时间改善。这些特定干预措施在减少每日哭闹时长和母亲焦虑方面并不比单纯的安慰和支持效果更好。
