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Современные подходы к ведению детей раннего возраста с синдромом кишечных колик
Современные подходы к ведению детей раннего возраста с синдромом кишечных колик
Хавкин А.И., Комарова О.Н. Современные подходы к ведению детей раннего возраста с синдромом кишечных колик. Consilium Medicum. Педиатрия (Прил.). 2015; 1: 54–58.
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Материалы доступны только для специалистов сферы здравоохранения. Авторизуйтесь или зарегистрируйтесь.
Аннотация
В статье рассмотрены вопросы диагностики младенческих кишечных колик и разные варианты подхода к решению их проблемы. Предложены диагностические алгоритмы при синдроме кишечных колик, а также этапный подход к лечению болевого синдрома, в том числе при коликах, сопровождающихся повышенным газообразованием.
Ключевые слова: младенческие колики, колики, выражающиеся беспокойством, избыточным газообразованием и сопровождаемые плачем, симетикон.
Key words: baby colic, colic, express concerns, excessive gas and accompanied by crying, simethicone.
Ключевые слова: младенческие колики, колики, выражающиеся беспокойством, избыточным газообразованием и сопровождаемые плачем, симетикон.
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Key words: baby colic, colic, express concerns, excessive gas and accompanied by crying, simethicone.
Полный текст
Список литературы
1. Хавкин А.И. Функциональные нарушения желудочно-кишечного тракта у детей грудного возраста и их диетологическая коррекция. В кн.: Национальная программа оптимизации вскармливания детей первого года жизни в Российской Федерации. Союз педиатров России. М., 2010; с. 39–42. / Khavkin A.I. Funktsional'nye narusheniia zheludochno-kishechnogo trakta u detei grudnogo vozrasta i ikh dietologicheskaia korrektsiia. V kn.: Natsional'naia programma optimizatsii vskarmlivaniia detei pervogo goda zhizni v Rossiiskoi Federatsii. Soiuz pediatrov Rossii. M., 2010; s. 39–42. [in Russian]
2. Хавкин А.И. Коррекция функциональных запоров у детей. Рос. вестн. перинатологии и педиатрии. 2012; 4 (1): 127–30. / Khavkin A.I. Korrektsiia funktsional'nykh zaporov u detei. Ros. vestn. perinatologii i pediatrii. 2012; 4 (1): 127–30. [in Russian]
3. Vandenplas Y, Gutierrez-Castrellon P, Velasco-Benitez C et al. Practical algorithms for managing common gastrointestinal symptoms in infants. Nutrition 2013; 29: 184–94.
4. Wessel MA, Cobb JC, Jackson EB et al. Paroxysmal fussing in infancy, sometimes called «colic». Pediatrics 1954; 14: 421–35.
5. Shergill-Bonner R. Infantile colic: practicalities of management, including dietary aspects. J Fam Health Care 2010; 20: 206–9.
6. Miranda A. Early life stress and pain: an important link to functional bowel disorders. Pediatr Ann 2009; 38: 279–82.
7. Critch J. Infantile colic: is there a role for dietary interventions? Paediatr Child Health 2011; 16: 47–9.
8. Savino F, Brondello C, Cresi F et al. Cimetropium bromide in the treatment of crisis in infantile colic. J Pediatr Gastroenterol Nutr 2012; 34: 417–9.
9. Koletzko S, Niggemann B, Arato A et al. European Society of Pediatric Gastroenterology, Hepatology, and Nutrition. Diagnostic approach and management of cow's-milk protein allergy in infants and children: ESPGHAN GI Committee practical guidelines. J Pediatr Gastroenterol Nutr. 2012; 55 (2): 221–9.
10. Savino F, Cresi F, Pautasso S et al. Intestinal microflora in colicky and non colicky infants. Acta Pediatrica 2004; 93: 825–9.
11. Rhoads JM, Fatheree NJ, Norori J et al. Altered fecal microflora and increased fecal calprotectin in infant colic. J Pediatr 2009; 155 (6): 823–8.
12. Weizman Z, Alkrinawi S, Goldfarb D, Bitran C. Efficacy of herbal tea preparation in infantile colic. J Pediatr 1993; 122: 650–2.
13. Vandenplas Y, Rudolph CD, Di Lorenzo C et al. Pediatric gastroesophageal reflux clinical practice guidelines: joint recommendations of the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition (NASPGHAN) and the European Society for Pediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN). J Pediatr Gastroenterol Nutr 2009; 49: 498–547.
14. Хавкин А.И., Кешишян Е.С. Протокол проспективного, открытого, наблюдательного исследования «Оценка переносимости БАД “Линекс для детей” при функциональных нарушениях пищеварения у детей раннего возраста». 2013–2014 гг. http://www.odgru.ru/ / Khavkin A.I., Keshishian E.S. Protokol prospektivnogo, otkrytogo, nabliudatel'nogo issledovaniia «Otsenka perenosimosti BAD “Lineks dlia detei” pri funktsional'nykh narusheniiakh pishchevareniia u detei rannego vozrasta». 2013–2014 gg. http://www.odgru.ru/ [in Russian]
15. Ott VD, Misnik WP. Using of Plantex instant l tea for treatment of children meteorism. Перинатологія та педіатрія. 1999; 5: 61–3.
16. Thomas DW et al. Clinical Report – Probiotics and Prebiotics in Pediatrics. Pediatrics 2010; 126 (6): 1217–32.
17. Бердникова Е.К., Кешишян Е.С., Хавкин А.И. Функциональные нарушения желудочно-кишечного тракта у детей раннего возраста. Consilium Medicum. Педиатрия (Прил.). 2007; 1: 13–7. / Berdnikova E.K., Keshishian E.S., Khavkin A.I. Funktsional'nye narusheniia zheludochno-kishechnogo trakta u detei rannego vozrasta. Consilium Medicum. Pediatriia (Pril.). 2007; 1: 13–7. [in Russian]
18. Кешишян Е.С. Проблемы диагностики и коррекции функциональных кишечных колик у детей первого года жизни. Пособие для практикующих врачей. М., 2010. / Keshishian E.S. Problemy diagnostiki i korrektsii funktsional'nykh kishechnykh kolik u detei pervogo goda zhizni. Posobie dlia praktikuiushchikh vrachei. M., 2010. [in Russian]
2. Khavkin A.I. Korrektsiia funktsional'nykh zaporov u detei. Ros. vestn. perinatologii i pediatrii. 2012; 4 (1): 127–30. [in Russian]
3. Vandenplas Y, Gutierrez-Castrellon P, Velasco-Benitez C et al. Practical algorithms for managing common gastrointestinal symptoms in infants. Nutrition 2013; 29: 184–94.
4. Wessel MA, Cobb JC, Jackson EB et al. Paroxysmal fussing in infancy, sometimes called «colic». Pediatrics 1954; 14: 421–35.
5. Shergill-Bonner R. Infantile colic: practicalities of management, including dietary aspects. J Fam Health Care 2010; 20: 206–9.
6. Miranda A. Early life stress and pain: an important link to functional bowel disorders. Pediatr Ann 2009; 38: 279–82.
7. Critch J. Infantile colic: is there a role for dietary interventions? Paediatr Child Health 2011; 16: 47–9.
8. Savino F, Brondello C, Cresi F et al. Cimetropium bromide in the treatment of crisis in infantile colic. J Pediatr Gastroenterol Nutr 2012; 34: 417–9.
9. Koletzko S, Niggemann B, Arato A et al. European Society of Pediatric Gastroenterology, Hepatology, and Nutrition. Diagnostic approach and management of cow's-milk protein allergy in infants and children: ESPGHAN GI Committee practical guidelines. J Pediatr Gastroenterol Nutr. 2012; 55 (2): 221–9.
10. Savino F, Cresi F, Pautasso S et al. Intestinal microflora in colicky and non colicky infants. Acta Pediatrica 2004; 93: 825–9.
11. Rhoads JM, Fatheree NJ, Norori J et al. Altered fecal microflora and increased fecal calprotectin in infant colic. J Pediatr 2009; 155 (6): 823–8.
12. Weizman Z, Alkrinawi S, Goldfarb D, Bitran C. Efficacy of herbal tea preparation in infantile colic. J Pediatr 1993; 122: 650–2.
13. Vandenplas Y, Rudolph CD, Di Lorenzo C et al. Pediatric gastroesophageal reflux clinical practice guidelines: joint recommendations of the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition (NASPGHAN) and the European Society for Pediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN). J Pediatr Gastroenterol Nutr 2009; 49: 498–547.
14. Khavkin A.I., Keshishian E.S. Protokol prospektivnogo, otkrytogo, nabliudatel'nogo issledovaniia «Otsenka perenosimosti BAD “Lineks dlia detei” pri funktsional'nykh narusheniiakh pishchevareniia u detei rannego vozrasta». 2013–2014 gg. http://www.odgru.ru/ [in Russian]
15. Ott VD, Misnik WP. Using of Plantex instant l tea for treatment of children meteorism. Перинатологія та педіатрія. 1999; 5: 61–3.
16. Thomas DW et al. Clinical Report – Probiotics and Prebiotics in Pediatrics. Pediatrics 2010; 126 (6): 1217–32.
17. Berdnikova E.K., Keshishian E.S., Khavkin A.I. Funktsional'nye narusheniia zheludochno-kishechnogo trakta u detei rannego vozrasta. Consilium Medicum. Pediatriia (Pril.). 2007; 1: 13–7. [in Russian]
18. Keshishian E.S. Problemy diagnostiki i korrektsii funktsional'nykh kishechnykh kolik u detei pervogo goda zhizni. Posobie dlia praktikuiushchikh vrachei. M., 2010. [in Russian]
2. Хавкин А.И. Коррекция функциональных запоров у детей. Рос. вестн. перинатологии и педиатрии. 2012; 4 (1): 127–30. / Khavkin A.I. Korrektsiia funktsional'nykh zaporov u detei. Ros. vestn. perinatologii i pediatrii. 2012; 4 (1): 127–30. [in Russian]
3. Vandenplas Y, Gutierrez-Castrellon P, Velasco-Benitez C et al. Practical algorithms for managing common gastrointestinal symptoms in infants. Nutrition 2013; 29: 184–94.
4. Wessel MA, Cobb JC, Jackson EB et al. Paroxysmal fussing in infancy, sometimes called «colic». Pediatrics 1954; 14: 421–35.
5. Shergill-Bonner R. Infantile colic: practicalities of management, including dietary aspects. J Fam Health Care 2010; 20: 206–9.
6. Miranda A. Early life stress and pain: an important link to functional bowel disorders. Pediatr Ann 2009; 38: 279–82.
7. Critch J. Infantile colic: is there a role for dietary interventions? Paediatr Child Health 2011; 16: 47–9.
8. Savino F, Brondello C, Cresi F et al. Cimetropium bromide in the treatment of crisis in infantile colic. J Pediatr Gastroenterol Nutr 2012; 34: 417–9.
9. Koletzko S, Niggemann B, Arato A et al. European Society of Pediatric Gastroenterology, Hepatology, and Nutrition. Diagnostic approach and management of cow's-milk protein allergy in infants and children: ESPGHAN GI Committee practical guidelines. J Pediatr Gastroenterol Nutr. 2012; 55 (2): 221–9.
10. Savino F, Cresi F, Pautasso S et al. Intestinal microflora in colicky and non colicky infants. Acta Pediatrica 2004; 93: 825–9.
11. Rhoads JM, Fatheree NJ, Norori J et al. Altered fecal microflora and increased fecal calprotectin in infant colic. J Pediatr 2009; 155 (6): 823–8.
12. Weizman Z, Alkrinawi S, Goldfarb D, Bitran C. Efficacy of herbal tea preparation in infantile colic. J Pediatr 1993; 122: 650–2.
13. Vandenplas Y, Rudolph CD, Di Lorenzo C et al. Pediatric gastroesophageal reflux clinical practice guidelines: joint recommendations of the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition (NASPGHAN) and the European Society for Pediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN). J Pediatr Gastroenterol Nutr 2009; 49: 498–547.
14. Хавкин А.И., Кешишян Е.С. Протокол проспективного, открытого, наблюдательного исследования «Оценка переносимости БАД “Линекс для детей” при функциональных нарушениях пищеварения у детей раннего возраста». 2013–2014 гг. http://www.odgru.ru/ / Khavkin A.I., Keshishian E.S. Protokol prospektivnogo, otkrytogo, nabliudatel'nogo issledovaniia «Otsenka perenosimosti BAD “Lineks dlia detei” pri funktsional'nykh narusheniiakh pishchevareniia u detei rannego vozrasta». 2013–2014 gg. http://www.odgru.ru/ [in Russian]
15. Ott VD, Misnik WP. Using of Plantex instant l tea for treatment of children meteorism. Перинатологія та педіатрія. 1999; 5: 61–3.
16. Thomas DW et al. Clinical Report – Probiotics and Prebiotics in Pediatrics. Pediatrics 2010; 126 (6): 1217–32.
17. Бердникова Е.К., Кешишян Е.С., Хавкин А.И. Функциональные нарушения желудочно-кишечного тракта у детей раннего возраста. Consilium Medicum. Педиатрия (Прил.). 2007; 1: 13–7. / Berdnikova E.K., Keshishian E.S., Khavkin A.I. Funktsional'nye narusheniia zheludochno-kishechnogo trakta u detei rannego vozrasta. Consilium Medicum. Pediatriia (Pril.). 2007; 1: 13–7. [in Russian]
18. Кешишян Е.С. Проблемы диагностики и коррекции функциональных кишечных колик у детей первого года жизни. Пособие для практикующих врачей. М., 2010. / Keshishian E.S. Problemy diagnostiki i korrektsii funktsional'nykh kishechnykh kolik u detei pervogo goda zhizni. Posobie dlia praktikuiushchikh vrachei. M., 2010. [in Russian]
________________________________________________
2. Khavkin A.I. Korrektsiia funktsional'nykh zaporov u detei. Ros. vestn. perinatologii i pediatrii. 2012; 4 (1): 127–30. [in Russian]
3. Vandenplas Y, Gutierrez-Castrellon P, Velasco-Benitez C et al. Practical algorithms for managing common gastrointestinal symptoms in infants. Nutrition 2013; 29: 184–94.
4. Wessel MA, Cobb JC, Jackson EB et al. Paroxysmal fussing in infancy, sometimes called «colic». Pediatrics 1954; 14: 421–35.
5. Shergill-Bonner R. Infantile colic: practicalities of management, including dietary aspects. J Fam Health Care 2010; 20: 206–9.
6. Miranda A. Early life stress and pain: an important link to functional bowel disorders. Pediatr Ann 2009; 38: 279–82.
7. Critch J. Infantile colic: is there a role for dietary interventions? Paediatr Child Health 2011; 16: 47–9.
8. Savino F, Brondello C, Cresi F et al. Cimetropium bromide in the treatment of crisis in infantile colic. J Pediatr Gastroenterol Nutr 2012; 34: 417–9.
9. Koletzko S, Niggemann B, Arato A et al. European Society of Pediatric Gastroenterology, Hepatology, and Nutrition. Diagnostic approach and management of cow's-milk protein allergy in infants and children: ESPGHAN GI Committee practical guidelines. J Pediatr Gastroenterol Nutr. 2012; 55 (2): 221–9.
10. Savino F, Cresi F, Pautasso S et al. Intestinal microflora in colicky and non colicky infants. Acta Pediatrica 2004; 93: 825–9.
11. Rhoads JM, Fatheree NJ, Norori J et al. Altered fecal microflora and increased fecal calprotectin in infant colic. J Pediatr 2009; 155 (6): 823–8.
12. Weizman Z, Alkrinawi S, Goldfarb D, Bitran C. Efficacy of herbal tea preparation in infantile colic. J Pediatr 1993; 122: 650–2.
13. Vandenplas Y, Rudolph CD, Di Lorenzo C et al. Pediatric gastroesophageal reflux clinical practice guidelines: joint recommendations of the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition (NASPGHAN) and the European Society for Pediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN). J Pediatr Gastroenterol Nutr 2009; 49: 498–547.
14. Khavkin A.I., Keshishian E.S. Protokol prospektivnogo, otkrytogo, nabliudatel'nogo issledovaniia «Otsenka perenosimosti BAD “Lineks dlia detei” pri funktsional'nykh narusheniiakh pishchevareniia u detei rannego vozrasta». 2013–2014 gg. http://www.odgru.ru/ [in Russian]
15. Ott VD, Misnik WP. Using of Plantex instant l tea for treatment of children meteorism. Перинатологія та педіатрія. 1999; 5: 61–3.
16. Thomas DW et al. Clinical Report – Probiotics and Prebiotics in Pediatrics. Pediatrics 2010; 126 (6): 1217–32.
17. Berdnikova E.K., Keshishian E.S., Khavkin A.I. Funktsional'nye narusheniia zheludochno-kishechnogo trakta u detei rannego vozrasta. Consilium Medicum. Pediatriia (Pril.). 2007; 1: 13–7. [in Russian]
18. Keshishian E.S. Problemy diagnostiki i korrektsii funktsional'nykh kishechnykh kolik u detei pervogo goda zhizni. Posobie dlia praktikuiushchikh vrachei. M., 2010. [in Russian]
Авторы
А.И.Хавкин*, О.Н.Комарова
НИКИ педиатрии ГБОУ ВПО Российский национальный исследовательский медицинский университет им. Н.И.Пирогова Минздрава России. 125412, Россия, Москва, ул. Талдомская, д. 2
*akhavkin@pedklin.ru
N.I.Pirogov Pediatrics Medical University of the Ministry of Health of the Russian Federation. 125412, Russian Federation, Moscow, ul. Taldomskaia, d. 2
*akhavkin@pedklin.ru
НИКИ педиатрии ГБОУ ВПО Российский национальный исследовательский медицинский университет им. Н.И.Пирогова Минздрава России. 125412, Россия, Москва, ул. Талдомская, д. 2
*akhavkin@pedklin.ru
________________________________________________
N.I.Pirogov Pediatrics Medical University of the Ministry of Health of the Russian Federation. 125412, Russian Federation, Moscow, ul. Taldomskaia, d. 2
*akhavkin@pedklin.ru
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