Uc Aliye, Hyman Paul E, Walker Lynn S
Division of Pediatric Gastroenterology, Department of Pediatrics, University of Iowa, Carver College of Medicine, Iowa City, IA 52242, USA.
J Pediatr Gastroenterol Nutr. 2006 Mar;42(3):270-4. doi: 10.1097/01.mpg.0000189371.29911.68.
To determine the prevalence of functional gastrointestinal disorders (FGIDs) in a primary care setting and to assess the usefulness of pediatric Rome criteria.
The Questionnaire on Pediatric Gastrointestinal Symptoms (QPGS) assessing the pediatric Rome criteria was administered to 243 school-age children visiting a general pediatric clinic for annual school physicals. Pearson chi statistics were used to determine the association of various demographic factors with FGIDs.
All children were African American, 47.7% were girls, and the mean +/- standard deviation age of the group was 10.7 +/- 3.9 years. QPGS detected 52 children (21.4%) with FGID. Diagnoses included aerophagia (6), abdominal migraine (1), cyclic vomiting syndrome (2), functional dyspepsia (2), functional abdominal pain syndrome (1), functional constipation (39) and functional fecal retention (1). Thorough clinical evaluation identified 47 (19.3%) children with FGIDs. Five of the children (2.1%) identified as having FGID on QPGS were felt not to have FGID by the examining physician. Children with FGIDs were not different from healthy children in age, insurance, parent's education, employment or number of children in the family. FGIDs were more common in girls (29/47 girls, P = 0.028). Children with FGIDs tended to live in single-parent households and miss school more often than children without FGIDs (P = 0.08).
Functional gastrointestinal disorders are common among African American children and adolescents in a primary care setting and predominantly affect girls. Symptom-based criteria are useful in the diagnosis of pediatric FGIDs.
确定基层医疗环境中功能性胃肠病（FGIDs）的患病率，并评估儿科罗马标准的实用性。
对243名到普通儿科诊所进行年度学校体检的学龄儿童进行了评估儿科罗马标准的儿科胃肠道症状问卷（QPGS）调查。采用Pearson卡方统计来确定各种人口统计学因素与FGIDs之间的关联。
所有儿童均为非裔美国人，47.7%为女孩，该组儿童的平均年龄±标准差为10.7±3.9岁。QPGS检测出52名（21.4%）患有FGID的儿童。诊断包括吞气症（6例）、腹型偏头痛（1例）、周期性呕吐综合征（2例）、功能性消化不良（2例）、功能性腹痛综合征（1例）、功能性便秘（39例）和功能性粪便潴留（1例）。全面的临床评估确定47名（19.3%）儿童患有FGIDs。在QPGS上被确定为患有FGID的5名儿童（2.1%），经检查医生判断不患有FGID。患有FGIDs的儿童在年龄、保险、父母教育程度、就业情况或家庭子女数量方面与健康儿童无差异。FGIDs在女孩中更常见（47名女孩中有29名，P = 0.028）。患有FGIDs的儿童往往生活在单亲家庭中，比没有FGIDs的儿童更常缺课（P = 0.08）。
在基层医疗环境中，功能性胃肠病在非裔美国儿童和青少年中很常见，且主要影响女孩。基于症状的标准对儿科FGIDs的诊断很有用。
