Функциональный запор у ребенка: хроническая болезнь или проблема развития?
Аннотация
Рассматриваются современные точки зрения на одну из важных проблем педиатрии — запоры у детей. Не имея в большинстве случаев органических причин для формирования, запоры при несвоевременном лечении приводят к нарушению качества жизни и трудно корректируемым осложнениям. Тактика лечения детских запоров должна сочетать немедикаментозные и лекарственные методы, максимально щадящие ребенка. К широко используемым ректальным способам лечения следует прибегать крайне ограниченно.
Об авторах
В. Н. Панфилова
Красноярский государственный медицинский университет им. проф. В.Ф. Войно-Ясенецкого;
Красноярская краевая клиническая детская больница
Россия
Россия
С. Н. Дорощенко
Красноярская краевая клиническая детская больница
Россия
Россия
Т. В. Третьякова
Красноярская краевая клиническая детская больница
Россия
Россия
Список литературы
1. Youssef N. N., Langseder A. L., Verga B. J., Mones R. L., Rosh J. R. Chronic childhood constipation is associated with impaired quality of life: a case-controlled study. J. Pediatr. Gastroenterol. Nutr. 2005; 41 (1): 56–60.
2. NICE. Constipation in children and young people. CG99. NICE, London. 2010. Available from http://guidance.nice.org.uk/CG99
3. Hyman P. E., Milla P. J., Benninga M. A., Davidson G. P., Fleisher D. F., Taminiau J. Childhood functional gastrointestinal disorders: neonate/toddler. Gastroenterology. 2006; 30: 1519–1526.
4. Rasquin A., Lorenzo C., Di Forbes D., Guiraldes E., Hyams J. S., Staiano A., Walker L. S. Childhood functional gastrointestinal disor ders: child/adolescent. Gastroenterology. 2006; 130: 1527–1537.
5. Hyams J. S., Treem W. R., Etienne N. L., Weinerman H., MacGilpin D., Hine P., Choy K., Burke G. Effect of infant formula on stool characteristics of young infants. Pediatr. 1995; 95: 50–54.
6. Fontana M., Bianch C., Cataldo F., Conti Nibali S., Cucchiara S., Gobio Casali L., Iacono G., Sanfilippo M., Torre G. Bowel frequency in healthy children. Acta Paediatr. Scand. 1987; 78: 682–684.
7. Baker S. S. et al. Evoluation and treatment of constipation in infants and children: recommendations of the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition Clinical Practice Guideline. JPGN/Lippincott Williams & Wilkins, Philadelphia. 2006; 43: 1–13.
8. Hyman P. E., Fleisher D. Functional fecal retention. Pract. Gastroenterol. 1992; 31: 29–37.
9. Pykov M. I., Mazankova L. N., Ovechkina N. R. Ultrasonic diagnostics of inflammatory changes of large intestine in children. Coloproctology. 2007; 1 (19): 27–31.
10. Bijos A., Czerwionka-Szaflarska M., Mazur A., Romanczuk W. The usefulness of ultrasound examination of the bowel as a method of assessment of functional chronic constipation in children. Pediatr. Radiology. 2007; 37 (12): 1247–1252.
11. Darge K., Anupindi S., Keener H., Rompel O. Ultrasound of the bowel in children: how we do it. Pediatr. Radiology. 2010; 40:4: 528–536.
12. Dvoryakovskiy I. V., Lukin V. V., Kostylyov F. A. Dynamics of rectum wall changes according to echography and Dopplerographia analysis in children with chronic constipation. SonoAce-Ultrasound. 2003; 11: 79–83.
13. Candy D. C., Edwards D., Geraint M. Treatment of faecal impaction with polyethelene glycol plus electrolytes (PGE + E) followed by a double-blind comparison of PEG + E versus lactulose as maintenance therapy. JPGN. 2006; 43 (1): 65–70.
14. Dupont C., Leluyer B., Maamri N., Morali A., Joye J.-P., Fiorini J.-M., Abdelatif A., Baranes C., Benoit S., Benssoussan A., Boussioux J., Boyer P., Brunet E., Delorme J., Francois-Cecchin S., Gottrand F., Grassart M., Hadji S., Kalidjian A., Languepin J., Leissler C., Lejay D., Livon D., Lopez J., Mougenot J., Risse J., Rizk C., Roumaneix D., Schirrer J., Thoron B., Kalach N. Double-blind randomized evaluation of clinical and biological tolerance of polyethylene glycol 4000 versus lactulose in constipated children. JPGN. 2005; 41 (5): 625–633.
15. Loening-Baucke V., Pashankar D. S. A randomized, prospective, comparison study of polyethylene glycol 3350 without electrolytes and milk of magnesia for children with constipation and fecal incontinence. Pediatrics. 2006; 118 (2): 528–535.
16. Thomson M. A., Jenkins H. R., Bisset W. M., Heuschkel R., Kalra D. S., Green M. R., Wilson D. C., Geraint M. Polyethylene glycol 3350 plus electrolytes for chronic constipation in children: a double blind, placebo controlled, crossover study. Arch. Dis. Child. 2007; 92 (11): 996–1000.
17. Nurko S., Youssef N. N., Sabri M., Langseder A., McGowan J., Cleveland M., Di Lorenzo C. PEG3350 in the treatment of childhood constipation: a multicenter, double-blinded, placebo-controlled trial. J. Pediatr. 2008; 153 (2): 254–261.
18. Perkin J. M. Constipation in childhood: a controlled comparison between lactulose and standardized senna. Curr. Med. Res. Opin. 1977; 4 (8): 540–543.
19. Romanczuk W., Korczowski R. Duphalac (lactulose) in the treatment of chronic constipation in children. Wiad Lek. 1995; 48 (1–12): 96–99.
20. Connolly P., Hughes I. W., Ryan G. Comparison of «Duphalac» and «irritant» laxatives during and after treatment of chronic constipation: a preliminary study. Curr. Med. Res. Opin. 1974–1975; 2 (10): 620–625. 21. Tabbers M. M., Boluyt N., Berger M. Y., Benninga M. A. Constipation in children. Clin. Evid. (Online). 2010: 0303. PMCID: PMC2907595.
21. Rogers J. Reducing the misery of constipation in children. Pract. Nursing. 2005; 1 (1): 12–16.
22. Afzal N. A., Tighe M. P., Thomson M. A. Constipation in children. Italian J. Pediatr. 2011; 37: 28. Doi: 10.1186/1824-7288-37-28.
23. Hillemeier C. An overview of the effects of dietary fiber on gastrointestinal transit. Pediatrics. 1995; 96 (5 Pt. 2): 997–999.
24. Guimaraes E.V., Goulart E.M., Penna F. J. Dietary fiber intake, stool frequency and colonic transit time in chronic functional constipation in children. Braz. J. Med. Biol. 2001; 34 (9): 1147–1153.
25. El-Hodhod M. A., Younis N. T., Zaitoun Y. A., Daoud S. D. Cow's milk allergy related pediatric constipation: appropriate time of milk tolerance. Pediatr. Allergy Immunol. 2010; 21 (2 Pt. 2): 7–12.
26. Silva D., Soraia T., Dirceu S., Naspitz C. K., DaSilva P., Francy R., Neto U. F., MeMorais M. B. Cow's milk protein intolerance and chronic constipation in children. Pediatr. Allergy Immunol. 2001; 12 (339): 42.
27. Andiran F., Dayi S., Mete E. Cow’s milk consumption in constipation and anal fissure in infants and young children. J. Paediatr. Child Health. 2003; 39 (329): 31.
28. Tsymbalova Ye. G., Potapov A. S., Baranov K. N. Chronic constipation in children. Voprosi sovremennoi pediatrii — Current Pediatrics. 2002; 1 (6): 56–61.
29. Banaszkiewicz A., Szajewska H. Ineffectiveness of Lactobacillus GG as an adjunct to lactulose for the treatment of constipation in children: a double-blind, placebo-controlled randomized trial. J. Pediatr. 2005; 146 (3): 364–369.
Для цитирования:
Панфилова В.Н., Дорощенко С.Н., Третьякова Т.В. Функциональный запор у ребенка: хроническая болезнь или проблема развития? Вопросы современной педиатрии. 2013;12(2):66-71. https://doi.org/10.15690/vsp.v12i2.622
For citation:
Panfilova V.N., Doroshchenko S.N., Tret’yakova T.V. Functional Constipation in Children: Chronic Disease or Developmental Problem? Current Pediatrics. 2013;12(2):66-71. (In Russ.) https://doi.org/10.15690/vsp.v12i2.622
Просмотров: 735
Послать статью по эл. почте 
