Cows milk consumption in constipation and anal fissure in infants and young children
Cows milk consumption in constipation and anal fissure in infants and young children
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DOI：
10.1046/j.1440-1754.2003.00152.x
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发表时间：
2003-07-01
影响因子：
1.7
通讯作者：
Mete, E
中科院分区：
文献类型：
--
作者：
Andiran, F;Dayi, S;Mete, E
目的：检查每日牛奶消费量和母乳喂养的持续时间在婴儿和幼儿肛裂和constituency.Methods：两组30个连续的儿童年龄在4个月和3年进行了回顾性评价。第一组为排除手术原因的慢性便秘和肛裂患儿，第二组为正常儿童。结果：Ⅰ组平均每日牛奶消耗量（756 mL，范围200-1500 mL）显著高于Ⅱ组（253 mL，范围0-1000 mL）（P < 0.001）;第一组母乳喂养时间（5.8个月，范围0-18个月）明显短于第二组（10.1个月，范围2-24个月）（P < 0.006）。两个因素的比值比-儿童每天摄入超过200 mL牛奶（第一组25名儿童，第二组11名儿童）和母乳喂养不足4个月（组I中16名儿童，组II中5名儿童）-计算为8.6（95%可信区间[CI]：0.23-0.74，P = 0.0005）和5.7（95%CI：0.37-0.66，P = 0.007）。此外，母乳喂养时间较短和早期用牛奶奶瓶喂养可能会导致婴儿和幼儿出现便秘和肛裂。
Objective: To examine daily cows milk consumption and duration of breastfeeding in infants and young children with anal fissure and constipation.Methods: Two groups of 30 consecutive children aged between 4 months and 3 years were evaluated retrospectively. Group I comprised children with chronic constipation and anal fissure in whom surgical causes were excluded, and group II comprised normal children. The daily consumption of cows milk, duration of breastfeeding and other clinical features of the children were investigatedResults: The mean daily consumption of cows milk was significantly higher in group I (756 mL, range 200-1500 mL) than group II (253 mL, range 0-1000 mL) (P < 0.001). Group I children were breastfed for a significantly shorter period (5.8 months, range 0-18 months) than group II (10.1 months, range 2-24 months) (P < 0.006). The odds ratios for the two factors - children consuming more than 200 mL of cows milk per day (25 children in group I, 11 children in group II) and breastfeeding for less than 4 months (16 children in group I, 5 children in group II) - were calculated to be 8.6 (95% confidence interval [CI]: 0.23-0.74, P = 0.0005) and 5.7 (95% CI: 0.37-0.66, P = 0.007), respectively.Conclusions: Infants and young children with chronic constipation and anal fissure may consume larger amounts of cows milk than children with a normal bowel habit. Additionally, shorter duration of breastfeeding and early bottle feeding with cows milk may play a role in the development of constipation and anal fissure in infants and young children.