2세 이하 영유아 변비의 임상 양상과 식이 방식 = Clinical Feature and Dietary Pattern of Infantile Constipation Under Two Years of Age

다국어 초록 (Multilingual Abstract)

Purpose: Infantile constipation is one of the most common problems in pediatric gastrointestinal outpatient clinic. We planed to show the clinical feature of infantile constipation and explore the possible relationship between diets and symptoms of constipation. Methods: We analyzed the medical records and telephone questionnaire about infants under 2 years of age with constipation, who visited outpatient clinic of Department of Pediatrics, Ilsan Paik Hospital during the time from March 2002 to February 2005. Data including the symptoms and signs of constipation, diet history, and past-medical history were analyzed. Results: Total 96 infants, 40 male and 56 female, were enrolled in this study. The mean age was 9 months. Twenty-three infants were exclusively breast milk fed (BMF), 20 infants were cow's milk fed (CMF) and 53 infants had a history of mixed feeding with cow's milk and breast milk (MMF). Patients showed painful defecation (95.8%), abdominal distension (53.1%), palpable rectal stool (35.1%), hard stool (30.2%), blood-tinged stool (29.2%) and anal fissure (16.7%). Patients with exclusive cow milk feeding had prominent clinical features, such as anal fissure (p=0.03), hematochezia (p=0.04) and palpable rectal stool (p=0.025). Patients who had a history of larger intake of liquid food had a tendency to get anal skin tag (p<0.05). Conclusion: Exclusive breast milk feeding seemed important to avoid constipation with clinical significance. To educate caregivers in appropriate way of the weaning food may help the infants with constipation.

참고문헌 (Reference)

1 안영준, "학동기 아동에서 변비의 실태와 관련요인에 대한 연구" 5 : 26-32, 2002

2 백남선, "특발성변비 환아에서의 직장항문압 측정검사" 2 : 30-39, 1999

3 권지영, "유아의 우유군 섭취가 식이의 다양성과 영양소 섭취의 적정도에 미치는 영향" 34 : 30-38, 2001

4 서정완, "소아의 배변장애-기능성 변비와 유분증" 44 : 59-68, 2001

5 소홍섭, "소아에서 만성 기능성 변비의 분변 막힘 제거에 대한 전해질이 함유된 Polyethylene Glycol(PEG)의 효과 및 안전성에 관한 연구" 46 : 1089-1094, 2003

6 박재옥, "변비 환아의 진단과 치료" 41 : 1041-1046, 1998

7 Weaver LT, "The bowel habit of milk-fed infants" 7 : 568-71, 1988

8 Leoning-Baucke V, "Prevalence,symptoms and outcome of constipation in infants and toddlers" 146 : 359-363, 2005

9 Borowitz SM, "Precipitants of constipation during early childhood" 16 : 213-218, 2003

10 Michail S, "Polyethylene glycol for constipation in children younger than eighteen months old" 39 : 197-199, 2004

11 Iacono G, "Intolerance of cow's milk and chronic constipation in children" 339 : 1100-1104, 1998

12 Lemoh JN, "Frequency and weight of normal stools in infancy" 54 : 719-20, 1979

13 Daher S, "Cow's milk protein intolerance and chronic constipation in children" 12 : 339-342, 2001

14 Baker SS, "Constipation in infants and children:evaluation and treatment. A medical position statement of the North American Society for Pediatric Gastroenterology and Nutrition" 29 : 612-626, 1999

15 Rasquin-Weber A, "Childhood functional gastrointestinal disorders" 45 : 60-68, 1999

16 Johnson S, "Benign perianal lesions" BC Decker Inc 597-598, 2004

17 권지영, "12-36개월 유아의 식사 질 평가" 34 : 176-187, 2001