论文部分内容阅读
目的调查深圳市南山区学龄期儿童再发性腹痛(RAP)的患病率,探讨本地区儿童RAP的相关危险因素。方法以随机整群抽样和分层随机抽样相结合的方法确定样本,2006年9月-2007年6月随机选取3所深圳市南山区公立小学6~12岁学龄期儿童2 100例为调查对象,采用问卷调查与体检相结合的形式进行调查。有腹痛病史的儿童到本院专科门诊进一步确诊。结果发放调查问卷2 100份,有效调查人数为1 835例。男949例,女886例,男:女=1.07:1;符合RAP儿童182例,本地区学龄期儿童RAP患病率为9.92%,其中103例(63.19%)为女童;器质性腹痛19例(10.44%),非器质性腹痛163例(89.56%)。相关影响因素经Logistic分析显示:教育方式(OR:2.677,95%C:I 1.046~6.847)、家庭和睦程度(OR:2.198,95%CI:0.672~7.193)、学习负担(OR:1.587,95%CI:0.633~3.978)及儿童气质类型(OR:1.554,95%C:I 1.055~2.289)4个因素有统计学意义。结论深圳市南山区学龄期儿童RAP患病率为9.92%,女童发病高于男童,非器质性RAP占绝大多数。儿童气质类型、父母教育方式、学习负担、家庭是否和睦等是RAP的相关危险因素。
Objective To investigate the prevalence of recurrent abdominal pain (RAP) in school-age children in Nanshan District of Shenzhen City and to explore the related risk factors of RAP in children in this area. Methods The samples were determined by a combination of random cluster sampling and stratified random sampling. Two hundred and seventy school-age children aged 6-12 years in Nanshan District Public Primary School of Shenzhen City were randomly selected from September 2006 to June 2007 as subjects , Using questionnaires and physical examination in the form of a combination of investigation. Children with a history of abdominal pain to our specialist clinic for further diagnosis. Results A total of 2 100 questionnaires were distributed and 1835 valid investigations were conducted. There were 949 males and 886 females with a male: female = 1.07: 1; 182 children were eligible for RAP. The prevalence of RAP in school-age children in this area was 9.92%, of which 103 (63.19%) were girls; Cases (10.44%), non-organic abdominal pain in 163 cases (89.56%). Logistic analysis showed that educational factors (OR: 2.677, 95% C: 1.046-6.847), family harmony (OR: 2.198, 95% CI: 0.672-7.193), and learning burden % CI: 0.633 ~ 3.978) and children’s temperament type (OR: 1.554,95% C: I 1.055 ~ 2.289) were statistically significant. Conclusion The prevalence of RAP in school-age children in Nanshan District, Shenzhen was 9.92%. The incidence of girls was higher than that of boys, and the non-organic RAP accounted for the vast majority. The type of children’s temperament, parental education, learning burden, family harmony, etc. are risk factors associated with RAP.