Study: colic improve through acupuncture

Veröffentlicht: 22. Juli 2023, 07:56 Uhr

Von: Natur.wiki Autoren-Team

In dieser Studie wird untersucht, ob Akupunktur eine wirksame Behandlungsmethode für Säuglinge mit kindlicher Kolik ist. Insgesamt wurden neunzig gesunde Säuglinge im Alter von 2 bis 8 Wochen randomisiert und entweder mit Akupunktur behandelt oder erhielten keine Behandlung. Die Säuglinge hatten über einen Zeitraum von drei Wochen sechs Besuche in einer Akupunkturklinik in Schweden. Die Ergebnisse zeigten, dass die Akupunkturbehandlung die Dauer und Intensität des Weinens bei den Säuglingen wirksam reduzierte. Die Studie deutet darauf hin, dass Akupunktur eine sinnvolle Berücksichtigung bei der Behandlung von kindlicher Kolik sein könnte. Es wurden jedoch auch Einschränkungen der Studie diskutiert, wie die Abhängigkeit … — This study examines whether acupuncture is an effective method of treatment for infants with childish colic. A total of ninety healthy infants between the ages of 2 to 8 weeks were randomized and either treated with acupuncture or received no treatment. The infants had six visits to an acupuncture clinic in Sweden over a period of three weeks. The results showed that acupuncture treatment effectively reduced the duration and intensity of the wine in the infants. The study indicates that acupuncture could be a sensible consideration in the treatment of childish colic. However, restrictions on the study were also discussed, such as dependency ... (Symbolbild/natur.wiki)

This study examines whether acupuncture is an effective treatment method for infants with childish colic. A total of ninety healthy infants between the ages of 2 to 8 weeks were randomized and either treated with acupuncture or received no treatment. The infants had six visits to an acupuncture clinic in Sweden over a period of three weeks. The results showed that acupuncture treatment effectively reduced the duration and intensity of the wine in the infants. The study indicates that acupuncture could be a sensible consideration in the treatment of childish colic. However, restrictions on the study were also discussed, such as the dependence on subjective assessments of parents and the need for further studies with larger patient groups.

Reference

Landgren K, Kvorning N, Hallstrom I. Acupuncture reduces crying in infants with childish colic: a randomized, controlled, blind clinical study. acuppunkt med. 2010; 28: 174-179.

Design

ninety otherwise healthy infants between the ages of 2 to 8 weeks with infantile colic were randomized and received acupuncture or no treatment. The infants went through a structured program with six visits over a period of three weeks in a acupuncture clinic in Sweden. The parents met with a blind nurse. The infant was then handed over to another nurse in a separate room. This nurse treated the infants in a similar way, with the exception that the infants assigned to acupuncture received treatment with Li4 on both sides for two seconds. No sham acupuncture was carried out.

most important knowledge

A minimal intervention with acupuncture was able to effectively reduce the duration and intensity of the wine in infants with colic. Infants in the acupuncture group had less unrest in the first month (74 compared to 129 minutes). p = 0.029) and 2nd week (71 vs. 102 minutes; p = 0.047) as well as a shorter duration of the colic -like wine in the 2nd week (9 compared to 13 minutes; p = 0.046). The total duration of excitement, crying and colic -like wines in the acupuncture group was significantly shorter in both the 1st group and in the control group (193 vs. 225 minutes). p = 0.025) and 2nd week (164 vs. 188 minutes; p = 0.028). Overall, there was a significant difference between the acupuncture group and the control group ( p = 0.034), in favor of the acupuncture group.

effects on practice

About 10 % of the children in the western world suffer from colic. ^{1 no clear etiology was identified, but many theories have been set up, including the assumption that colic is a normal gastrointestinal reflex in response to food, which increases peristalsis to create space for the supplied food. set up that colic are the result of a gastrointestinal (GI) anomaly such as gastroesophageal reflux disease (Gerd), flatulence or muscle cramps in the large intestine, all of which have very plausible causes. However, it is interesting to determine that 85–90 % of the babies with colic have no signs of a gastrointestinal anomaly.}

Even if the child's colic has hardly any direct medical consequences, it is a great deal of concerns for both the child and his parents. Several studies have identified childish colic and persistent wines as risk factors for mothers and fatherly postpartum. To shorten 6 and have twice as many unsafe bonds with their children, 7 Both can affect the child's physical and mental health.

babies who suffer from colic are more often victims of shaking baby syndrome and may have an increased risk of sudden child death.

babies who suffer from colic are more often victims of the Shaken-Baby syndrome 8 and there may be an increased risk of sudden child death (SIDS). ^{9 They were also treated more often with prescription medication, including sedative (e.g. phenobarbital, valium, ethanol), Analgetics (e.g. opium), 10 and antispasmodic drugs (e.g. scopolamine, dicyclomin) in the past, 11} and recently proton pump inhibitors (PPIs) against Gerd, although the latest knowledge of the University of Pittsburg came to the conclusion that PPIs were reduced in the reduction of the wine. are not more effective than water. 12

The screaming of infants can have a decisive influence on the stability of the family. Crying, frustration and fatigue can put emotionally strain on and to fear, stress, stress, stress in marriage and a low self -esteem as parents. It is important to implement secure and effective strategies to calm colic -like infants. It seems as if in addition to the mediation of soothing techniques to parents, 2 Optimization of digestion by avoiding food allergens, and supplementing probiotics, 15 acupuncture can be an effective means to calm babies with colic.

Several studies have examined acupuncture and childish colic and found positive results, including this published study. A study by Reinthal from 2008 showed that with 40 infants who received a slight needle on Li4 for four times for 20 seconds, the parents reported a significant improvement in colic symptoms. ^{16 A study by the same author from 2011 showed that in 913 infants who have a needle in the same place for 10–20 seconds, Li4, Li4, 76 % of the parents reported an improvement in the symptoms after a week. ^{17 A third study, published in Journal for Traditional Chinese Medicine in 2002 by ZHAO, showed a similar effect on the nightly crying of infants with acupuncture on point PC9 in 100 cases.}}

In the study by Reinthal from 2008, the effect on the motor and autonomous nervous system and its possible reduction in intestinal peristalsis was attributed. The most interesting colic theory is, in my opinion, the zirkadiane serotonin melatonin rhythm and its effect on intestinalotility. The highest serotonin concentration causes intestinal cramps in connection with colic, since serotonin increases the contraction of the smooth intestinal muscles. Melatonin has the opposite effect of relaxing the smooth intestinal muscles. Both serotonin and melatonin have a circadian rhythm with top concentrations at night. ^{<19 , however, serotonin intestinal contractions are unhindered in the first three months of life, since only circadian serotonin rhythms exist at birth. The circadian melatonin rhythm is only developed in the infant gland at the age of 3 months if the colic generally decreased. ²⁰ It has already been shown that acupuncture increases endogenous melaton insecurity in adults. Kolik relieves and also directly influenced the peristalsis and the contraction of the smooth muscles.}

The far -reaching effects of childish colic on infants as well as their parents and their family structure offer sufficient reason to research further opportunities to relieve colic symptoms. Acupuncture seems to be a sensible consideration when developing a treatment plan for the treatment of child colic.

restrictions

This study is subject to considerable restrictions. First, the dependence on the parental measurement of the wine, the excitement and the colic -like wine is important as the primary result of results. Since I am a parents myself, I understand the challenge of assessing exactly how long your child has cried, especially under the stress of lack of sleep, a new child and other normal aspects of everyday life. Even if the minutes of the wine are counted exactly, they cannot distinguish what the cause of the wine was and whether it was due to colic symptoms. Another restriction of the study is that the total P value ( p = 0.034) is quite low when you consider that the study included 90 subjects.

As the studies mentioned show, it seems that acupuncture can be of use in the treatment of childish colic. It would be valuable to see follow -up studies with larger patient groups and the use of a better accepted placebo. Although not without disadvantages, the sham acupuncture is the current standard. In addition, more objective results would increase the value and validity of the study. The identification and evaluation of physiological measured values for infant complaints or colic markers would also underpin the researchers' conclusions.