婴儿肠绞痛的识别与管理  

Recognition and management of infantile colic

作　　者：赵煜[1] 张书红[1] Zhao Yu;Zhang Shuhong(Gastroenterology Department,Tianjin Children’s Hospital,Tianjin 300000,China)

机构地区：[1]天津市儿童医院消化科,300000

出　　处：《中国小儿急救医学》2022年第2期90-94,共5页Chinese Pediatric Emergency Medicine

摘　　要：婴儿肠绞痛(IC)是5个月以内婴儿期的常见病症,主要症状是周期性发作、难以抚慰的啼哭。该病为自限性良性疾病,但常给患儿家庭带来困扰,也给临床医生带来挑战。IC的诊断方法可参考罗马Ⅳ标准(RomaⅣcriteria),主要根据婴儿啼哭的特征和时长进行判定。IC的发病原因不明,主要包括胃肠道因素和非胃肠道因素。IC的治疗尚无统一标准,包括饮食调节、行为方式改变、药物治疗、手法治疗等,临床效果仍需更多研究数据证实。临床医师既要了解总体发病原因及治疗方法,也要从个体入手,识别原因,加强管理,改善预后。Infantile colic(IC)is a common process that occurs in the infants within five months of age.The main characteristic of IC is paroxysm of inconsolable crying.Although IC is a benign self-limiting process,it is a common source of concern for family,and usually bring challenge to doctors.The diagnostic criteria is Roma Ⅳ criteria,which is mainly based on the typical feature and duration of crying.The etiology is unknown.The proposed causes can be classified into gastrointestinal and non-gastrointestinal factors.There is still no standard treatment for IC.The current management includes dietary modification,behavioral modification,pharmacological intervention,manual therapy,and so on.More clinical studies are needed to confirm the effect of these treatment strategies.Pediatricians should be familiar with the main causes and management of IC,and should also be adept at recognizing the individual reasons,managing the infants,and improving the prognosis.

关 键 词：婴儿肠绞痛 罗马Ⅳ标准 焦躁 

分 类 号：R725.7[医药卫生—儿科]