摘要
【目的】了解婴儿不明原因哭闹发生情况及影响因素。【方法】采用回顾性研究方法,对在同一家医院出生的675对正常足月儿及其母亲,分别于分娩后5 d内和6个月时对母亲进行面对面问卷调查。用描述性统计学、卡方检验t、检验、非条件Logistic回归等方法分析资料。【结果】正常6个月内婴儿不明原因哭闹的累计检出率为0.7%。平均每天哭闹持续时间1 h,每周出现1 d,持续1周;平均哭闹开始时间为2个月,53.1%的婴儿4个月时症状消失;傍晚和夜间出现占64.1%,89.1%的婴儿哭闹时伴有尖叫、面部发红、双腿踢蹬、双腿蜷缩到腹部及哭闹后排气等症状。多因素分析显示孕期心理忧郁包括有孤独感、无故为一些小事担心、易出汗,产后与婴儿的不良关系包括婴儿的一些表现令她非常烦恼、比以往感觉有较多的身体痛等因素均可能增加婴儿不明原因哭闹的危险性。【结论】妇女孕期及产后的负性情绪可能增加婴儿不明原因哭闹的危险。
[Objective] To assess the impact of psychological, psychosocial and socioeconomic factors on the risk of having a child with infantile colic. [Methods] Psychosocial and psychological factors were assessed by self-administered questionnaires during 5 days after birth by interviews, and infantile colic occurrence was assessed at infant age 6 months by interviews; subjects were 675 mother-infant dyads. Descriptive statistics,t-tests, chi-squared tests, and random effects logistic regression models were used. [Results] The cumulative incidence proportion of infantile colic was 0.7 % in healthy infancy under 6 months. Crying averagely lasted for one hour per day, for one day per week, and for one week; averagely started in the second month of life and 53.1% ended by age 4 months. 64.1% of crying occurred in the evening or at night, and 89.1~ of crying were accompanied by flushing of the face, drawing up of the legs, pull their legs up against their stomachs and passing of gas. Multiple factors analysis showed that some factors may increase risk of infantile colic, such as experience of stress, including being lone, worrying about some little things without any cause, tending to sweat during the pregnancy, and so on; inadequate mother-infant interaction, including there were some things their child did that really bother them a lot, they had more aches and pains than usual after delivery, and so on. [Conclusion] Negative emotion of women during pregnancy and postnatal period may increase the risk of infantile colic.
出处
《中国儿童保健杂志》
CAS
2006年第5期442-444,共3页
Chinese Journal of Child Health Care
基金
世界卫生组织基金资助(WP/2004/CHN/RPH/3.3/001)
