儿童功能性便秘和继发性便秘的临床发现
Clinical findings of functional and secondary constipation in children.
作者信息
Soylu Ozlem Bekem
机构信息
Dr. Behcet Uz Children's Disease and Pediatric Surgery Training and Research Hospital, Paediatric Gastroenterology, Hepatology and Nutrition Unit, Alsancak, Izmir, Turkey.
出版信息
Iran J Pediatr. 2013 Jun;23(3):353-6.
OBJECTIVE
We aimed to evaluate clinical features and follow-up data of children with functional and secondary constipation.
METHODS
Hospital records of 335 constipated children were evaluated. Children were divided into 2 groups as functional and secondary, and were compared with regard to clinical and anthropometric data.
FINDINGS
Of 335 children (M/F 167/168, mean age 4.3±3.5 years) 91% had functional constipation (group 1). Family history of constipation was significantly higher in group 1. Malnutrition was found in 18% of group 1, 56% in group 2 (p < 0.001).
CONCLUSION
If a constipated child has a family history of constipation but does not have failure to thrive and constipation begins at an older age, functional constipation is more probable.
目的
我们旨在评估功能性便秘和继发性便秘儿童的临床特征及随访数据。
方法
对335例便秘儿童的医院记录进行评估。将儿童分为功能性便秘组和继发性便秘组两组，并就临床和人体测量数据进行比较。
结果
335例儿童（男/女167/168，平均年龄4.3±3.5岁）中，91%患有功能性便秘（第1组）。第1组便秘家族史显著更高。第1组18%存在营养不良，第2组为56%（p<0.001）。
结论
如果便秘儿童有便秘家族史，但没有生长发育迟缓且便秘始于较大年龄，则更可能为功能性便秘。
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