Devanarayana Niranga Manjuri, de Silva Delpechitracharige Gajabahu Harendra, de Silva Hithanadura Janaka
Department of Physiology, Faculty of Medicine, University of Kelaniya Thalagolla road, Ragama, Sri Lanka.
J Trop Pediatr. 2008 Jun;54(3):178-83. doi: 10.1093/tropej/fmm114. Epub 2008 Jan 19.
Recurrent abdominal pain (RAP) is a common problem among children and adolescents. The epidemiology of RAP among Sri Lankan children is unknown. A self-administered parental questionnaire was distributed to 810 randomly selected school children, aged 5-15 years, and 734 (90.6%) were returned. RAP was diagnosed using Apley criteria. Children who fulfilled the criteria were interviewed. Seventy-seven had RAP (10.5%). Of them, 45 (58.4%) had periumbilical pain. The severity was mild to moderate in 45 (58.4%) and severe in 32 (41.6%). Common associated symptoms were headache (42.9%), anorexia (35.1%), lethargy (23.4%) and joint pain (23.4%). Health care consultation among affected children was 70.1%. RAP was significantly higher in those who were exposed to stressful life events and who had a family history of RAP (p < 0.0001). RAP was not associated with school academic performance and participation in sports (p > 0.05). According to our results, the epidemiology and clinical profile of RAP in Sri Lankan children appears to be similar to that in other parts of the world, except for health care consultation, which is higher than previously reported.
复发性腹痛（RAP）是儿童和青少年中的常见问题。斯里兰卡儿童中RAP的流行病学情况尚不清楚。我们向810名年龄在5至15岁之间随机抽取的在校儿童发放了家长自填式问卷，回收了734份（90.6%）。采用阿普里标准诊断RAP。对符合标准的儿童进行了访谈。77名儿童患有RAP（10.5%）。其中，45名（58.4%）有脐周疼痛。45名（58.4%）的疼痛程度为轻度至中度，32名（41.6%）为重度。常见的伴随症状有头痛（42.9%）、厌食（35.1%）、嗜睡（23.4%）和关节疼痛（23.4%）。患病儿童的医疗咨询率为70.1%。经历过应激性生活事件以及有RAP家族史的儿童中RAP发生率显著更高（p < 0.0001）。RAP与学校学业成绩和参与体育活动无关（p > 0.05）。根据我们的研究结果，斯里兰卡儿童RAP的流行病学和临床特征似乎与世界其他地区相似，但医疗咨询率高于此前报道。
