儿童功能性便秘相关危险因素分析

The risk factors for functional constipation in children

关键词:  功能性便秘  儿童  危险因素

Key words:  functional constipation  child  risk factor

摘要:

[目的] 了解儿童功能性便秘（FC）的危险因素。[方法] 采用自制的儿童功能性便秘相关因素调查问卷表，将2019年4—12月山东中医药大学第二附属医院就诊的FC患儿121例设为观察组，另将同期的健康儿童128例设为对照组。对两组儿童的临床资料进行分析，调查儿童的排便情况及便秘相关因素。[结果] 两组儿童不同性别、体质量、年龄比较差异无统计学意义（P>0.05）；排便不规律、恐惧排便、未排便训练、憋便、母亲孕期高热量饮食、家族便秘史是儿童功能性便秘的危险因素（OR值分别为0.078、0.076、0.074、0.124、0.282、0.169，P<0.05）。[结论] 儿童功能性便秘的形成与排便不规律、恐惧排便、未排便训练、憋便、母亲孕期高热量饮食、家族便秘史密切相关，可以从其危险因素入手进行早期干预，从而达到预防和治疗便秘的目的。

Abstract:

[Objective] To study the risk factors for functional constipation(FC) in children.[Methods] A self-made questionnaire on factors related to functional constipation in children was used. 121 children with functional constipation,who admitted to our hospital from April 2019 to December 2019,were set as observation group,and 128 healthy children without FC in the same period were in control. The clinical data of the two groups were analyzed.[Results] No statistical differences were found in the different genders,weightand ages between two groups (P>0.05).Irregular defecation,fear of defecation,no defecation training,constipation,mother's diet habits during pregnancy,and family history of defecation were the risk factors for childhood FC(OR was separately 0.078,0.076, 0.074,0.124,0.282,0.169,P<0.05).[Conclusion] The formation of functional constipation in children is closely related to irregular defecation,fear of defecation,no defecationtraining,constipation,mother's diet habits during pregnancy,and family history of defecation. Early intervention can be started from its risk factors to achieve the purpose of preventing and treating constipation.