小婴儿常见胃肠道症状的处理策略  

Algorithms for managing common gastrointestinal symptoms in infants

作　　者：田亚萍 童笑梅[1] Tian Yaping Tong Xiaomei(Department of Pediatrics, Peking University Third Hospital, Belting 100191, China the Standardized Resident Training in Department of Pediatrics of Peking University Third Hospital, Resident in Department of Pediatrics of Peking University Interttational Hospital,Belting 102206,China)

机构地区：[1]北京大学第三医院儿科,100191 [2]北京大学国际医院儿科、北京大学第三医院儿科规培住院医师,102206

出　　处：《中华实用儿科临床杂志》2017年第19期1515-1518,共4页Chinese Journal of Applied Clinical Pediatrics

摘　　要：小婴儿出现反流／溢奶、婴儿肠绞痛、便秘、排便困难、腹泻等胃肠道症状比较常见，此类胃肠道症状多为功能性紊乱，易与其他疾病混淆，国内外医师对其认识程度及处理方案不统一，且相关的双盲对照前瞻性研究非常有限，目前的处理策略仍旧依据经验总结。现就参照罗马Ⅳ诊断标准及国内外专家共识，分别介绍各种小婴儿胃肠道症状、诊断及处理策略，提高临床儿科医师对此类症状的认识，规范管理。Gastrointestinal symptoms such as regurgitation, infantile colic, constipation, dyschezia, and diarrhoea are frequent in infants. These symptoms always were functional gastrointestinal symptoms. It is easily confused with other diseases. The knowledge and management of these symptoms are no uniform or clear. Since double - blind placebo controlled prospective intervention trials are very limited, the algorithms are still based on consensus using the evidence. This article respectively introduces each gastrointestinal symptoms, include clinical manifestations, diagnosis and management referring to Rome IV and domestic and overseas paediatricians consensus, to improve clinical pediatricians the knowledge of gastrointestinal symptoms and specify the management.

关 键 词：胃肠道症状 溢奶 肠绞痛 过度哭闹 腹泻 便秘 

分 类 号：R725.7[医药卫生—儿科]