儿童功能性便秘相关危险因素分析

Analysis of risk factors related to functional constipation in children

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DOI 10.12208/j.ijped.20240001
刊名
International Journal of Pediatrics Research
年,卷(期) 2024, 4(1)
作者
作者单位

1 包头医学院第一附属医院 内蒙古包头 ;
2 内蒙古科技大学包头医学院 内蒙古包头 ;

摘要
调查包头市3-7岁儿童功能性便秘(Function Constipation, FC)的相关危险因素。方法采用基于罗马IV诊断标准自制的FC相关因素调查问卷表进行调查,2022年10月-2023年11月就诊于包头医学院第一附属医院就诊的FC患儿设为观察组,另将同期本院健康体检的健康儿童设为对照组。对两组儿童的临床资料进行分析,了解FC患儿的现状,并分析探讨FC的相关危险因素。结果 本次调查共发放问卷850份,有效的问卷数共778份,有效率为91.3%,FC组258例(33.16%),健康儿童组520例(66.84%)。所有样本儿童年龄均在3~7岁,其中男童355名(46.63%),女童423名(53.37%)。问卷收集可能导致FC的影响因素,并进行单因素分析及多因素Logistic回归分析,结果显示两组儿童不同年龄差异有统计学意义(P<0.05),不同性别、不同民族比较差异无统计学义(P>0.05);过敏情况、便秘家族史、膳食模式、晚上是否喝牛奶、挑食情况、故意憋便情况是儿童功能性便秘的危险因素(OR值分别为2.618、7.720、2.028、2.222、3.125、35.603,P<0.05)。结论 本文所研究包头市内3-7岁FC患儿发病机制与过敏情况、便秘家族史、膳食模式、故意憋便等多种危险因素密切相关,可以从其危险因素入手,进行及时干预,从而达到预防和治疗功能性便秘的目的。
Abstract
Objective To investigate the risk factors related to Function Constipation (FC) in children aged 3-7 years in Baotou. Methods The FC related factors questionnaire made by ourselves based on the Rome IV diagnostic criteria was used to investigate. Children with FC who were admitted to the First Affiliated Hospital of Baotou Medical College from October 2022 to November 2023 were selected as the observation group, and healthy children who underwent physical examination in our hospital during the same period were selected as the control group. The clinical data of the two groups of children were analyzed to understand the status quo of children with FC, and the related risk factors of FC were analyzed and discussed. Results A total of 850 questionnaires were sent out in this survey, and 778 were effective, the effective rate was 91.3%, 258 cases (33.16%) in FC group and 520 cases (66.84%) in healthy children group. All the children in the sample were aged from 3 to 7 years, including 355 boys (46.63%) and 423 girls (53.37%). The factors that may lead to FC were collected by questionnaires, and univariate analysis and multivariate Logistic regression analysis were performed. The results showed that there was statistical significance between the two groups of children in different ages (P < 0.05), but there was no statistical significance between different genders and different nationalities (P > 0.05). Allergy, family history of constipation, dietary pattern, drinking milk at night, picky eating, and deliberate holding of bowels were the risk factors for functional constipation in children (OR values were 2.618, 7.720, 2.028, 2.222, 3.125, 35.603, P < 0.05). Conclusion The pathogenesis of FC children aged 3-7 years in Baotou city studied in this paper is closely related to multiple risk factors such as allergy, family history of constipation, dietary pattern, intentional constipation, etc. Timely intervention can be started from the risk factors, so as to achieve the purpose of prevention and treatment of functional constipation.
关键词
功能性便秘;儿童;危险因素;问卷调查
KeyWord
Functional constipation; Children; Risk factors; Questionnaire survey
基金项目
页码 1-6
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赵文娟,姚丽萍*,关立东. 儿童功能性便秘相关危险因素分析 [J]. 国际儿科研究杂志. 2024; 4; (1). 1 - 6.

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