母亲对绞痛与非绞痛婴儿的有效干预

Aazam Soltaninejad, Esmat Nouhi, Hossein Safizade
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摘要

背景:根据Wessel的说法,婴儿疝气被定义为一个健康的婴儿,每天超过三小时,每周超过三天,持续至少三周的过度哭泣。据报道,在不同的研究中,根据数据收集、研究设计和肠绞痛的定义,婴儿肠绞痛的患病率在10-40%的范围内有所不同。尽管对婴儿绞痛的研究已有50年,但其病因尚不清楚。原因有母亲孕期压力大、产后抑郁、母亲职业、全日制教育等社会因素、乳糖不耐症、牛奶过敏、肠道收缩、亲子关系等其他因素。目的:比较母亲对绞痛婴儿和非绞痛婴儿的有效干预措施。方法:在本横断面研究中,纳入了400名3个月以下的婴儿,这些婴儿被带到卫生中心接种疫苗并进行生长监测。确定婴儿疝气的标准是:婴儿的年龄必须小于3个月,婴儿疝气必须由儿科诊断,婴儿必须健康。腹泻,呕吐,持续腹胀和未能茁壮成长被排除为非绞痛问题。采用整群抽样和方便抽样的方法进行数据采集。还使用了一份研究人员制作的问卷。结果:所有新生儿中有49%为绞痛,51%为非绞痛。男孩占52.5%,女孩占47.5%。配方奶喂养的婴儿比母乳喂养的婴儿更容易绞痛(62.2%对53%)。结论:本研究采用行为干预、营养干预和药物干预(中草药或化学药物)三种方法控制绞痛。在非绞痛组中,母亲更多地使用行为和营养干预,而在绞痛组中,母亲更多地使用草药和化学药物。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effective Interventions of Mothers in Colicky and Non-colicky Infants
Background: According to Wessel, infantile colic is defined as excessive crying which lasts more than three hours a day for more than three days a week for at least three weeks in an otherwise healthy baby. Prevalence of infantile colic has been reported to vary within the 10-40% range in different studies depending on data collection, study design and definition of colic. Despite 50 years of research about infantile colic its etiology is unknown. Some causes are mother's stress under pregnancy, postpartum depression, social factors like mother's occupation and fulltime education and other factors such as lactose intolerance, cow's milk allergy, gut contraction and parentsinfant relationship. Aim: To compare the effective interventions of mothers in colicky and non-colicky infants Method: In this cross-sectional study, 400 infants under 3 months whom had been brought to a health center for vaccination and growth monitoring were enrolled. The criteria which were taken into consideration to recognize instances of colicky infants were: the age of the infant had to be less than 3 months, colic in infants had to be diagnosed by pediatrics and infants had to be healthy otherwise. Diarrhea, vomiting, constant abdominal distention and failure to thrive were excluded as non-colic problems. Cluster sampling and then convenience sampling methods were used to gather data. A researcher-made questionnaire was also used. Result: Among all of the neonates 49% were colic and 51% were non-colic. 52.5% were boys and 47.5% were girls. Formula fed infants were more colicky than breastfed infants (62.2% vs. 53%). Conclusion: Mothers in this study used three kinds of behavioral, nutritional and medicinal interventions (either herbal remedies or chemical drugs) to control colic. In the non-colic group, mothers used more behavioral and nutritional interventions while in the colic group both herbal and chemical drugs were used more.
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