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超过5个月的婴儿:来自哥伦比亚的多中心研究
Carlos Velasco-Benitez1, Daniela Velasco1, Malia Andujar2
1Universidad del Valle, Cali, Colombia.
Neurogastroenterology and motility
|March 12, 2026
概括
婴儿在婴儿早期很常见,但在5个月后很少见,符合大多数婴儿的罗马四号标准. 一个小组可能会经历超过这个年龄的持续症状.
科学领域:
- 儿科 儿科 儿科
- 胃肠病学 胃肠病学
- 婴儿健康 婴儿健康
背景情况:
- 婴儿是婴儿早期普遍和令人痛苦的疾病.
- 罗马四号标准定义直肠最长5个月,但症状可能持续更长时间.
- 新出现的证据表明,需要在已确定的年龄门之外评估结肠的患病率.
研究的目的:
- 为了确定5个月以上婴儿的患病率.
- 评估罗马IV诊断年龄截止值是否准确地反映了婴儿的临床过程.
- 评估1-12个月龄的婴儿痛症状的持续性.
主要方法:
- 在哥伦比亚进行了一项横截面的多中心研究.
- 从门诊诊所招募了1236名1至12个月龄的婴儿的护理人员.
- 婴儿结肠炎的诊断是使用西班牙语版本的罗马四号儿童胃肠道症状问卷 (QPGS-IV) 进行的.
主要成果:
- 总体而言,1.7%的婴儿符合罗马规定的第四标准.
- 患病率在1至4个月的婴儿中为3.0%,在5至12个月的婴儿中为0.5% (p < 0.001).
- 14%的结肠病例发生在5个月以上,没有人在8个月后报告.
结论:
- 婴儿结肠在婴儿早期很常见,但在5个月以后很少见,支持罗马四号标准的典型临床过程.
- 一小部分婴儿经历了超过5个月的持续性结肠症状.
- 当前的罗马IV年龄限制可能不包括婴儿的全谱.
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