儿童功能性便秘危险因素与生活质量分析  

An analysis of risk factors and life quality in children with functional constipation

作　　者：胡静[1] 闫坤龙[2] 金玉[2] 

机构地区：[1]南京大学医学院,江苏省210008 [2]南京医科大学附属南京儿童医院消化病科

出　　处：《江苏医药》2016年第6期642-645,共4页Jiangsu Medical Journal

摘　　要：目的探讨儿童功能性便秘（FC）危险因素及生活质量。方法回顾性分析400例FC患儿便秘相关危险因素,采用儿童生活质量量表和便秘程度临床症状评分评估其中7～11岁FC患儿80例（A组）的生活质量和便秘程度,并与健康体检50例儿童（C组）比较,分析FC患儿便秘程度临床症状与儿童生活质量量表总评分的相关性。结果人工喂养、饮水少、遗传和过敏是0～2岁儿童FC的危险因素（P〈0.05）。人工喂养、纤维素摄入少、挑食、排便恐惧、遗传、过敏和心理因素是2岁以上儿童FC的危险因素（P〈0.05）。A组大便性状评分和便秘程度临床症状总评分均高于C组[（4.75±1.10）分vs.（3.20±0.40）分和（14.38±3.04）分vs.（6.20±0.99）分]（P〈0.05）。A组生活质量评分低于C组（P〈0.01）。除大便性状评分外,FC患儿其他便秘程度临床症状评分与儿童生活质量量表总评分存在负相关（P〈0.05）。结论 FC影响儿童生活质量,家长及医务人员应予以足够重视,做到早预防、早治疗。Objective To investigate the risk factors and life quality of children with functional constipation（FC）.Methods Constipation-related risk factors were retrospectively analyzed in 400 FC children.The quality of life and clinical symptoms of constipation were evaluated with children＇s quality of life scale and clinical symptoms score of constipation,respectively,in 80 FC children（group A,aged from 7to 11 years old）and 50 healthy children（group C）.The correlation between clinical symptoms of constipation and total score of children＇s quality of life scale was analyzed.Results Artificial feeding,less water drinking heredity and allergy were the risk factors for FC in the children aged less than 2years old（P〈0.05）.Artificial feeding,less fiber intake,particular about food,defecation fear,heredity,allergy and psychological factors were the risk factors of FC children aged more than 2 years old（P〈0.05）.The scores of stool property and clinical symptoms of constipation were higher in group A than those in group C[（4.75±1.10）points vs.（3.20±0.40）points and（14.38±3.04）points vs.（6.20±0.99）points]（P〈0.05）.The scores of life quality were lower in group A than those in group C（P〈0.01）.Except for score of stool property,the scores of other clinical symptoms of constipation were negatively correlated to total score of quality of life（P〈0.05）.Conclusion FC influences the quality of life of children and parents and medical staff should pay more attention to early prevention and treatment.

关 键 词：功能性便秘 儿童 

分 类 号：R725[医药卫生—儿科]