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功能性腹痛障碍患儿急性胃肠炎的临床表现

Clinical Presentation of Acute Gastroenteritis in Children With Functional Abdominal Pain Disorders.

作者信息

Saps Miguel, Mintjens Stijn, Pusatcioglu Cenk K, Cohen Daniel M, Sternberg Petra

机构信息

*Division of Pediatric Gastroenterology, Hepatology and Nutrition, Nationwide Children's Hospital, Columbus, OH †Department of Pediatrics, Emma Kinderziekenhuis, Academic Medical Centre, Amsterdam, the Netherlands ‡Division of Pediatric Gastroenterology Hepatology and Nutrition, Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, IL §Division of Emergency Medicine, Nationwide Children's Hospital, Columbus, OH.

出版信息

J Pediatr Gastroenterol Nutr. 2017 Aug;65(2):165-167. doi: 10.1097/MPG.0000000000001466.

Abstract

Visceral hypersensitivity and abnormal coping are common in children with functional abdominal pain disorders (FAPDs). Thus, it would be expected that children with visceral hypersensitivity would report more pain if their gut is acutely inflamed. The aim of the study was to compare clinical symptoms and somatization of children with and without FAPDs at time of an episode of acute gastroenteritis. Seventy children with acute gastroenteritis and their parents completed the Rome III Diagnostic Questionnaire for Pediatric Functional GI Disorders and the Children's Somatization Inventory. Twenty-one percent of children were diagnosed with an FAPD. Children with FAPDs showed significantly more nongastrointestinal somatic symptoms than children without FAPDs. There were no significant differences in abdominal pain, nausea, vomiting, or school absenteeism between both groups at time of consultation.

摘要

内脏高敏感性和异常应对在功能性腹痛障碍(FAPD)患儿中很常见。因此,可以预期内脏高敏感性患儿在肠道急性发炎时会报告更多疼痛。本研究的目的是比较急性肠胃炎发作时患有和未患有FAPD的儿童的临床症状和躯体化情况。70名患有急性肠胃炎的儿童及其父母完成了罗马III型小儿功能性胃肠疾病诊断问卷和儿童躯体化量表。21%的儿童被诊断为FAPD。患有FAPD的儿童比未患有FAPD的儿童表现出明显更多的非胃肠道躯体症状。在就诊时,两组在腹痛、恶心、呕吐或缺课方面没有显著差异。

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