肛门直肠畸形术后患儿心理行为问题的探讨  

Prebe of Psychological Behavior Problems in Children With An Operated Anorectal Malformation

作　　者：吴云军 Wu YunJun（ Department of Pediatric Surgery, The People＇s Hospital of Sishuixian. SishuiXian 273200 China.）

机构地区：泗水县人民医院,山东泗水273200

出　　处：《中国保健》2006年第12X期19-20,共2页Chinese Health Care

摘　　要：目的：探讨肛门直肠畸形术后患儿心理行为问题的产生情况。方法：随访45例肛门直肠畸形术后7年～12年的患儿与45名正常儿童进行对照,运用Achenbach儿童行为量表,依据排便功能临床评分标准,分别比较其心理行为异常的发生率。结果：9例存在心理行为问题,排便功能差的病例心理行为异常发生率高于排便功能优、良组及对照组。观察组心理行为异常发生率明显高于对照组。结论：先天性肛门直肠畸形术后心理行为异常发生率与排便功能有关。排便功能的改善是预防患儿心理行为异常的关键。Objective：To probe psychological problem in children with anorectal malformation 12 years after operation. Methods：Using a survey design ,45 Children aged 7 - 12 years With an operated anorectal malformation operated 7 - 12 years before and 45 normal controls were assessed b.v Achenbach Child Behavior Checklist（CBCL） for behavior problems. According to Clinical assessment of anal function, the patients were divided into three groups（ good, fair and poor）. CBCL scores of three groups were compared with those of centrals. Results ：9 examples exist mental processes of a person pyoble, The incidence of psychological behavior unusual in observation subgroup with poor defecation was higher than that in observation subgroups with excellent,good defecation and control group. Theincidence of psychological behavior unusual in observation group was obviously high than that of centrol group. Conclusion：Probe of psychological behavior unusual in patients with an operated anorectal malformation are related to the anal function of patients. Improvement of defecation function is critical to prevent psychological behavior unusual in children with congenital anorectal deformity after anoplasty.

关 键 词：肛门直肠畸形 心理行为问题 肛门功能 

分 类 号：R657.1[医药卫生—临床医学;医药卫生—外科学]