399例上消化道症状患儿胃镜结果分析  

Analysis of gastroscopy results in 399 pediatric patients with upper gastrointestinal tract symptoms

作　　者：靳妍妍 马立燕[2] JIN Yanyan;MA Liyan(The First Clinical Medical College,Ningxia Medical University,Yinchuan 750004,Ningxia,China;Department of Pediatrics,General Hospital of Ningxia Medical University,Yinchuan 750004,Ningxia,China)

机构地区：[1]宁夏医科大学第一临床医学院,宁夏银川750004 [2]宁夏医科大学总医院儿科,宁夏银川750004

出　　处：《中国校医》2024年第12期939-941,959,共4页Chinese Journal of School Doctor

摘　　要：目的 分析具有上消化道症状的患儿通过胃镜确诊的疾病分布特点,为临床诊治及疾病预防提供参考依据。方法 对2022年1月—2023年8月具有上消化道症状并在本院行胃镜检查的399例患儿胃镜检查结果进行分析,并对其中193例进行13C尿素呼气试验。根据年龄划分为学龄前期组、学龄期组、青春期组,对其胃镜异常检出率和幽门螺杆菌(Hp)阳性率进行分析。结果 399例患儿胃镜异常检出率为79.9%,且随年龄呈上升趋势(χ_(趋势)^(2)=27.227,P<0.001)。共检出16种病变类型,其中慢性非萎缩性胃炎所占比例最高(67.1%)。193例患儿Hp阳性率为65.3%,且随年龄增加而增长(χ_(趋势)^(2)=13.204,P<0.001),Hp阳性患儿中胃镜异常检出率达88.0%。结论 因上消化道症状就诊的患儿胃镜检查异常率较高,应适时行胃镜检查明确疾病类型。Objective This study aimed to analyze the distribution characteristics of diseases diagnosed by gastroscopy in pediatric patients with upper gastrointestinal tract symptoms,and to provide novel insights for clinical diagnosis and prevention of the diseases.Methods The gastroscopy results of 399 pediatric patients with upper gastrointestinal symptoms who received gastroscopy in our hospital from January 2022 to August 2023 were analyzed.Among them,193 cases underwent 13C urea breath test.The 399 pediatric patients included were assigned to pre-school group,school-age group,and adolescence group.The abnormal detection rate of gastroscopy and the positive rate of Helicobacter pylori(Hp)were analyzed in these pediatric patients.Results The abnormal detection rate of gastroscopy in 399 pediatric patients was 79.9%,showing an increasing trend with age(χ_(trend)^(2)=27.227,P<0.001).A total of 16 types of lesions were detected,among which chronic non-atrophic gastritis accounted for the highest proportion(67.1%).The positive rate of Hp in 193 pediatric patients was 65.3%,which also increased with age(χ_(trend)^(2)=13.204,P<0.001).The abnormal detection rate of gastroscopy in Hp-positive pediatric patients was 88.0%.Conclusion Pediatric patients presenting with upper gastrointestinal symptoms show a high rate of abnormalities on gastroscopy,and should receive gastroscopy promptly to identify the disease types.

关 键 词：患儿 胃炎 胃镜 幽门螺杆菌 

分 类 号：R72[医药卫生—儿科] R573.3[医药卫生—临床医学]