Беспокойный и плачущий младенец: что должен знать педиатр
DOI: 10.26442/2413-8460_2018.3.30-33
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Taranushenko T.Е. Restless and crying babies: what a pediatrician should know. Pediatrics (Suppl. Consilium Medicum). 2018; 3: 30–33.
DOI: 10.26442/2413-8460_2018.3.30-33
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Цель представленного материала – рассмотреть наиболее вероятные причины плача и крика у детей грудного возраста, представить особенности плачущего поведения ребенка, обсудить диагностический алгоритм, позволяющий уточнить причины плача и выбрать необходимую стратегию и тактику в управлении ситуацией. В публикации обсуждаются наиболее частые функциональные расстройства (например, младенческие кишечные колики) и патологические состояния, которые сопровождаются криком и плачем детей, приведены современные данные, позволяющие оптимизировать врачебную тактику на основе доказательной медицины.
Ключевые слова: плач нормальный, плач болезненный, плач проблематичный, беспокойный младенец, детский крик и плач.
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The publication is aimed at pediatricians and general practitioners who quite often meet the problem of restless and crying babies.
The purpose of the presented material is to examine and describe the most probable causes of crying in infants, to present the features of the child's crying behavior, discuss a diagnostic algorithm to clarify the causes of crying and choose necessary strategy and tactics in managing the situation. The publication discusses most frequent functional disorders (eg, infants intestinal colic) and pathological conditions that are accompanied by crying and crying of children, the modern data, allowing to optimize medical tactics on based evidence-based medicine.
Key words: crying normal, crying painful, crying problematic, a restless baby, a child's cry and crying.
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8. Biagioli E, Tarasco V, Lingua C et al. Pain-relieving agents for infantile colic. Cochrane Database Syst Rev 2016; 9: CD009999. DOI: 10.1002/14651858.CD009999.pub2
9. Partty A, Luoto R, Kalliomaki M et al. Effects of Early Prebiotic and Probiotic Supplementation on Development of Gut Microbiota and Fussing and Crying in Preterm Infants: A Randomized, Double-Blind, Placebo-Controlled Trial. J Pediatr 2013; 163: 1272–7.
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1. Infant crying – Wikipedia https://en.wikipedia.org/wiki/Infant_crying
2. Cook F, Seymour M, Giallo R et al. Comparison of methods for recruiting and engaging parents in online interventions: study protocol for the Cry Baby infant sleep and settling program. BMC Pediatrics 2015; 15 (1).
3. Infants and Children: Acute Management of the Unsettled and Crying Infant 1st Edition. Guideline. Secretary, NSW Health, 2016.
4. Diagnosis and treatment of infantile colic: the experts ESPGHAN opinion. Consilium Medicum. Pediatrics (Suppl.). 2016; 2: 10–7. [in Russian]
5. Savino F, Benetti S, Ceratto S. Infantile colic: from symptoms to diagnosis – A practical approach. J Sympt Signs 2013; 2 (4): 248–52.
6. Savino F et al. Looking for new treatments of infantile colic. Italian J Pediatrics 2014; 40: 53.
7. Loomans EM, Doreleijers TAH, Vrijkotte TGM, Gemke RJ; Eijsden, Manon van (1 March 2017). Excessive infant crying doubles the risk of mood and behavioral problems at age 5: evidence for mediation by maternal characteristics. Eur Child Adolescent Psy 26 (3): 293–302.
8. Biagioli E, Tarasco V, Lingua C et al. Pain-relieving agents for infantile colic. Cochrane Database Syst Rev 2016; 9: CD009999. DOI: 10.1002/14651858.CD009999.pub2
9. Partty A, Luoto R, Kalliomaki M et al. Effects of Early Prebiotic and Probiotic Supplementation on Development of Gut Microbiota and Fussing and Crying in Preterm Infants: A Randomized, Double-Blind, Placebo-Controlled Trial. J Pediatr 2013; 163: 1272–7.
ФГБОУ ВО «Красноярский государственный медицинский университет им. проф. В.Ф.Войно-Ясенецкого» Минздрава России. 660022, Россия, Красноярск, ул. Партизана Железняка, д. 1
*Tetar@rambler.ru
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T.Е.Taranushenko*
Prof. V.F.Voino-Yasenetski Krasnoyarsk State Medical University of the Ministry of Health of the Russian Federation. 660022, Russian Federation, Krasnoyarsk, ul. Partizana Zhelezniaka, d. 1
*Tetar@rambler.ru