Coreil J, Price L, Barkey N
Department of Community and Family Health, College of Public Health, University of South Florida, Tampa 33612, USA.
Clin Pediatr (Phila). 1995 Nov;34(11):591-8. doi: 10.1177/000992289503401104.
According to current medical opinion, teething diarrhea (TD) is a myth; yet cross-cultural data document a worldwide distribution of popular belief in the association of frequent, loose stools with tooth eruption. A mail survey in 1990 of 215 pediatricians practicing in Florida investigated beliefs and practices related to TD. Thirty-five percent of respondents believed there is a real association between diarrhea and tooth eruption. When compared with pediatricians who do not believe in TD, these respondents were more likely to be more recent graduates of medical school, to be in general pediatric practice, to be female, to see more patients per week, and to practice in metropolitan areas. The most common explanations for the link between dentition and diarrhea were changes in eating habits, increased salivation, and stress. Respondents reported that both they and the parents of their patients tended to view TD as less serious than other types of diarrhea, and both managed it accordingly. When compared with earlier studies, our findings indicate that belief in TD among pediatricians may have increased since the 1970s. The results suggest a need for more empirical research on the effects of tooth eruption on bowel function.
根据当前医学观点，出牙腹泻（TD）是一种误解；然而，跨文化数据表明，在全球范围内，人们普遍相信频繁、稀便与牙齿萌出之间存在关联。1990年对佛罗里达州215名执业儿科医生进行的一项邮件调查，研究了与出牙腹泻相关的观念和做法。35%的受访者认为腹泻与牙齿萌出之间存在实际关联。与不相信出牙腹泻的儿科医生相比，这些受访者更有可能是医学院的应届毕业生，从事普通儿科工作，为女性，每周看诊的患者更多，且在大都市地区执业。对于出牙与腹泻之间联系的最常见解释是饮食习惯改变、唾液分泌增加和压力。受访者报告称，他们自己以及患者的父母都倾向于认为出牙腹泻不如其他类型的腹泻严重，并且都相应地进行处理。与早期研究相比，我们的研究结果表明，自20世纪70年代以来，儿科医生对出牙腹泻的相信程度可能有所增加。结果表明需要对牙齿萌出对肠道功能的影响进行更多实证研究。
