患有便秘的儿童中乳病的患病率和预测因素
Monika Meena1, Manish Narang1, Rajesh Kumar Meena2
1Department of Pediatrics, University College of Medical Sciences (University of Delhi) and Associated Guru Teg Bahadur Hospital, Delhi, India.
Indian pediatrics
|March 7, 2024
概括
儿童的便秘与乳病的更高患病率有关,尤其是在伴随着生长失败的情况下. 在这些情况下,早期查胰腺疾病至关重要.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 自免疫性疾病 自免疫性疾病
- 营养缺乏症 营养缺乏症
背景情况:
- 便秘是一种常见的儿科投诉.
- 病是一种由质引发的自身免疫性疾病.
- 儿童中便秘和腹腔疾病之间的关联需要进一步研究.
研究的目的:
- 为了确定患有便秘的儿童患有乳病的患病率.
- 为了确定患有便秘的儿童中乳病的预测因子.
- 为了比较患有便秘的儿童与没有便秘的儿童患乳病的发病率.
主要方法:
- 一项基于医院的横截面研究涉及460名1至12岁的儿童.
- 根据ROME IV标准,儿童被分为患有便秘 (病例) 和没有便秘 (比较) 的组.
- 查胰腺疾病包括血清抗组织转质胺酶IgA (tTG-IgA) 和,当阳性时,上胃肠内镜与十二指肠活检.
主要成果:
- 活检确认的乳病的总体患病率为3.26% (15/460).
- 与对照组 (0.87%,P = 0.004) 相比,患有便秘的儿童患有乳病的患病率显著更高 (5.65%).
- 在便秘的儿童中,消耗和衰老与腹腔疾病有显著的关联 (P < 0.001).
结论:
- 儿童的便秘与腹腔疾病的患病率显著增加有关.
- 发育不良 (消耗和发育迟缓) 是患有便秘的儿童患乳病的重要指标.
- 这凸显了对便秘儿童,特别是生长障碍儿童进行乳腺查的重要性.
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