一项针对患有严重婴儿绞痛的儿童的10年前瞻性研究。

Francesco Savino, Emanuele Castagno, Roberta Bretto, Cristina Brondello, Elisabetta Palumeri, Roberto Oggero
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引用次数: 55

摘要

目的:探讨小儿绞痛与胃肠、过敏及心理障碍的关系。方法:对103名年龄在31-87天的婴儿进行前瞻性研究。在2001年至2003年期间,10岁后,儿童被召回,儿科医生通过记忆、医学检查、实验室检查和父母访谈对所选疾病进行评估。结果:在103名入组婴儿中,96名完成了研究。婴儿绞痛和反复腹痛与变应性疾病(变应性鼻炎、结膜炎、喘息性支气管炎、花粉症、特应性湿疹和食物过敏)存在相关性(p=0.001)。结论:婴儿绞痛可能增加儿童期反复腹痛、过敏和心理障碍的易感性。我们的研究结果证实,严重的婴儿绞痛可能是儿童时期一些最常见疾病的早期表现。
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A prospective 10-year study on children who had severe infantile colic.

Aim: To evaluate the association between infantile colic and gastrointestinal, allergic and psychological disorders in childhood.

Methods: A prospective study was conducted on 103 infants aged 31-87 d. After 10 y, between 2001 and 2003, the children were recalled and a paediatrician evaluated the selected disorders by anamnesis, medical examination, laboratory tests and parent interviews.

Results: Of the 103 infants enrolled, 96 completed the study. There was an association between infantile colic and recurrent abdominal pain (p=0.001) and allergic disorders: allergic rhinitis, conjunctivitis, asthmatic bronchitis, pollenosis, atopic eczema and food allergy (p<0.05). Sleep disorders, fussiness, aggressiveness and feelings of supremacy are more frequent in children who suffered from colic during early infancy (p<0.05). A family history of gastrointestinal diseases and atopic diseases was significantly higher in infants with colic than in controls (p<0.05).

Conclusion: Susceptibility to recurrent abdominal pain, allergic and psychological disorders in childhood may be increased by infantile colic. Our findings confirm that severe infantile colic might be the early expression of some of the most common disorders in childhood.

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