评估功能性和有机性儿童便秘之间的指标和临床差异:儿童胃肠病诊所的回顾性研究
Hasan M Isa1, Fatema A Alkharsi2, Fatema A Salman3
1Pediatric Department, Salmaniya Medical Complex, Arabian Gulf University, Manama, Bahrain.
Clinical and experimental pediatrics
|June 15, 2023
概括
慢性便秘在儿童中很常见,功能性便秘 (FC) 是最常见的. 幼儿有特殊症状,如生长迟缓或便中的粘液,需要对有机便秘 (OC) 进行评估.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 临床儿科 临床儿科
- 消化系统健康 消化系统健康
背景情况:
- 慢性便秘影响全球儿童,包括功能性便秘 (FC) 和有机性便秘 (OC).
- 早期识别儿童便秘的原因和并发症对于有效管理至关重要.
研究的目的:
- 为了确定儿童便秘的患病率和原因.
- 为了比较儿童中FC与OC的临床特征,治疗方法和结果.
- 确定区分FC和OC的预测因素.
主要方法:
- 在儿科胃肠病诊所 (2017-2021) 诊断为FC或OC的儿童进行了回顾性横截面研究.
- 采用了罗马四号标准来诊断功能性便秘.
- 分析了616名患有便秘的儿童在4,346次儿科胃肠病学预约中获得的数据.
主要成果:
- 便秘占儿科胃肠病学诊所的14.7%.
- 功能性便秘 (83%) 明显比有机性便秘 (17%) 更常见.
- 与患有FC的儿童相比,患有OC的儿童年轻,体重较低,生长迟缓,并患有更多相关疾病 (例如尿尿症). 牛奶蛋白质过敏是最常见的有机原因.
结论:
- 慢性便秘是儿童胃肠病学咨询的重要原因.
- 功能性便秘是儿童中的主要类型.
- 幼儿体重低,生长迟缓,便中有粘液或并发症,需要对便秘的潜在有机原因进行彻底评估.
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