儿童功能性腹痛的危险因素及生活质量调查  

Investigation on risk factors and quality of life of children with functional abdominal pain

作　　者：林芸[1] 王景霞[1] LIN Yun;WANG Jingxia(Department of Digestive and Nutritional Sciences,Fujian Children’s Hospital(Fujian Branch of Shanghai Children’s Medical Center),Women and Children Clinical Medical College of Fujian Medical University,Fujian,Fuzhou 350011,China)

机构地区：[1]福建省儿童医院(上海儿童医学中心福建医院)福建医科大学妇儿临床医学院消化营养科,福建福州350011

出　　处：《中国医药科学》2025年第6期44-48,共5页China Medicine And Pharmacy

基　　金：福建省卫健委科技计划(青年科研课题)(2022QNB004)。

摘　　要：目的 分析引起儿童功能性腹痛的危险因素及对生活质量的影响。方法 纳入2021年3月至2022年9月福建省儿童医院收治的功能性腹痛患儿73例研究对象列为观察组,另选73名体检的健康儿童作为对照组,分析引起儿童功能性腹痛的危险因素,比较两组腹痛评分与生活质量评分,并分析腹痛严重程度与生活质量的相关性。结果 观察组患儿腹痛评分高于对照组,生活质量评分低于对照组(P <0.05),Pearson系数分析儿童腹痛总评分与儿童生活质量总评分呈负相关(P <0.05);logistic回归分析显示,胃肠功能紊乱、负面心理、饮食单一、与父母关系不和谐、每天接触电子产品时间过长是导致儿童功能性腹痛发生的危险因素(P <0.05)。结论 不良饮食习惯、负面心理因素、胃肠功能紊乱等是引起儿童功能性腹痛的危险因素;临床治疗除给予药物治疗外还应注重对患儿的心理干预,针对相关因素进行干预,减少儿童功能性腹痛的发生率。Objective To analyze the risk factors of children with functional abdominal pain and its impact on quality of life(QoL).Methods A total of 73 children with functional abdominal pain admitted to and treated in Fujian Children’s Hospital from March 2021 to September 2022 were included as the research object,and they were selected as the observation group.Another 73 healthy children undergoing physical examination were selected as the control group for analysis,and the risk factors causing children with functional abdominal pain were analyzed.The abdominal pain scores and QoL scores of the two groups were compared,and the correlation between abdominal pain severity and QoL was analyzed.Results The score of abdominal pain in the observation group was higher than that in the control group,and the score of QoL was lower than that in the control group,with statistically significant differences(P<0.05).Pearson coefficient analysis showed that the total score of abdominal pain in children was negatively correlated with the total score of QoL in children(P<0.05).Logistic regression analysis showed that gastrointestinal dysfunction,negative psychology,single diet,disharmony with parents and prolonged exposure to electronic products every day were the risk factors for children with functional abdominal pain(P<0.05).Conclusion Risk factors for children with functional abdominal pain,such as unhealthy dietary habits,negative psychological factors,and gastrointestinal dysfunction;In addition to drug therapy,clinical treatment should also pay attention to psychological intervention for children,and intervention for related factors to reduce the incidence of children with functional abdominal pain.

关 键 词：儿童功能性腹痛 危险因素 生活质量 心理干预 

分 类 号：R725.7[医药卫生—儿科]