儿童再发性腹痛病例常见病因分析  

Analysis of Common Etiology of Recurrent Abdominal Pain Cases in Children

作　　者：郑泽洪 ZHENG Zehong(Department of Pediatrics,Chongqing Nanchuan District People's Hospital,Chongqing,408400 China)

机构地区：[1]重庆市南川区人民医院儿内科,重庆408400

出　　处：《系统医学》2022年第20期160-163,共4页Systems Medicine

摘　　要：目的研究儿童再发性腹痛病例的常见病因,为临床再发性腹痛的诊疗提供有力依据。方法选择重庆市南川区人民医院2018年1月—2020年1月期间收治的60例再发性腹痛患儿为研究对象,收集并整理再发性腹痛患儿的一般资料、体格检查结果、辅助检查结果等资料,对引发再发性腹痛的相关因素进行分析,为临床中再发性腹痛的诊断以及治疗提供依据。结果60例再发性腹痛患儿的主要病因为器质性,其次为功能性,器质性再发性腹痛的发生率为76.7%(46/60),功能性再发性腹痛的发生率为23.3%(14/60)。器质性再发性腹痛中,慢性胃炎的发病率最高,其次为十二指肠溃疡、胆汁反流性胃炎,以上3种疾病的构成比在10.0%以上,10.0%以下的病因包括:十二指肠淤积症、十二指肠炎、糜烂性胃炎、梅克尔憩室、其他疾病;功能性再发性腹痛中,其主要病因为功能性消化不良。结论儿童再发性腹痛和器质性病变密切相关,功能性的构成比比较低,常见的器质性致病因素包括:慢性胃炎、十二指肠溃疡、胆汁反流性胃炎,临床中需要强化判断器质性以及功能性再发性腹痛,以便进行有效地诊断治疗,提升患儿的治疗效果,保证患儿的生活质量。Objective To study the common etiology of recurrent abdominal pain cases in children and to provide a strong basis for the clinical treatment of recurrent abdominal pain.Methods Sixty cases of children with recurrent abdominal pain admitted to the People′s Hospital of Nanchuan District,Chongqing,China,from January 2018 to January 2020 were selected as study subjects.The general data,physical examination results and auxiliary examination results of the children with recurrent abdominal pain were collected and collated,and the factors triggering recurrent abdominal pain were analyzed to provide a basis for the diagnosis and treatment of recurrent abdominal pain in clinical practice.Results The incidence of organic recurrent abdominal pain was 76.7%(46/60),and the incidence of functional recurrent abdominal pain was 23.3%(14/60)in 60 children with recurrent abdominal pain.Among the organic recurrent abdominal pain,chronic gastritis had the highest incidence,followed by duodenal ulcer and bile reflux gastritis,with the composition ratio of the above three diseases above 10.0%,and the etiologies below 10.0%included:duodenal stasis,duodenitis,erosive gastritis,Meckel′s diverticulum,and other diseases;among the functional recurrent abdominal pain,its main etiology was functional dyspepsia.Conclusion Recurrent abdominal pain in children is closely related to organic pathology,with a relatively low functional component.The common organic pathogenic factors include:chronic gastritis,duodenal ulcer,and bile reflux gastritis.In clinical practice,it is necessary to strengthen the judgment of organic as well as functional recurrent abdominal pain,so as to carry out effective diagnosis and treatment,to improve the treatment effect of children,and to ensure the quality of life of children.

关 键 词：患儿 再发性腹痛 病因 器质性 功能性 

分 类 号：R72[医药卫生—儿科]