Department of Paediatrics, Faculty of Medicine, University of Kelaniya, Thalagolla Road, Ragama, Sri Lanka 11010.
J Trop Pediatr. 2012 Aug;58(4):280-5. doi: 10.1093/tropej/fmr096. Epub 2011 Dec 6.
This island-wide cross-sectional survey was conducted to assess the healthcare consultations in Sri Lankan children with constipation. Children aged 10-16 years were randomly selected from five randomly selected schools in three randomly selected provinces of Sri Lanka. Data were collected using a pre-tested questionnaire based on Rome III criteria. Of the 2770 questionnaires distributed, 2694 (97.3%) properly filled questionnaires were included in the analysis. From 416 (15.4%) children with chronic constipation, only 16 (3.8%) had sought medical advice during the previous 12 months. Younger children and those with a similar family history were more likely to seek healthcare. The majority of children with symptoms indicating severe constipation such as painful defecation, large volume stool, faecal incontinence and blood stained stools had not sought medical help for their symptoms. Parents should pay more attention to bowel habits of their children to identify and treat constipation early to prevent complications.
这项全岛性的横断面调查旨在评估斯里兰卡儿童便秘的医疗咨询情况。从斯里兰卡三个随机选定省份的五所随机选定的学校中，随机抽取了 10-16 岁的儿童。使用基于罗马 III 标准的预先测试问卷收集数据。在分发的 2770 份问卷中，有 2694 份（97.3%）填写正确的问卷被纳入分析。在 416 名患有慢性便秘的儿童中，只有 16 名（3.8%）在过去 12 个月内寻求过医疗建议。年龄较小的儿童和有类似家族史的儿童更有可能寻求医疗保健。大多数有严重便秘症状的儿童，如排便疼痛、大量粪便、粪便失禁和血便，并没有为他们的症状寻求医疗帮助。家长应更加关注孩子的排便习惯，以便及早识别和治疗便秘，预防并发症。
