Department of Pediatric Surgery, Skane University Hospital Lund, Lund University, Lund, Sweden.
Acta Paediatr. 2018 May;107(5):875-885. doi: 10.1111/apa.14225. Epub 2018 Feb 7.
We evaluated bowel function in healthy children with regard to gender and age.
The study was carried out in 2016 at a tertiary children's hospital. Healthy children aged 3.5 years to 15 years who were admitted to the hospital, siblings to patients or offspring of staff members were included. Validated self-report questionnaires and internally developed questions regarding obstructive outlet- and gas-related symptoms were used.
A total of 310 participants (50% girls) were included, which corresponded to a 94% answer frequency. Respondents were divided into a younger age group (3.5 years to seven years), consisting of 135 children, and an older age group (eight years to 15 years), consisting of 175 children. Younger children reported more foul odours than older children (50% vs. 29%, p = 0.001) and more obstructive symptoms (21% vs. 10%, p = 0.01). There was no difference between the age groups regarding constipation (19% vs 16%, NS). Overall, 55% of those with constipation had no treatment for the condition, although they reported abdominal pain (51%) and problems with foul odours (57%).
Healthy children frequently reported constipation, abdominal pain and gas-related problems, but treatment was rare. Overall, bowel function seemed to improve during childhood, although constipation remained largely untreated.
评估健康儿童的肠道功能与性别和年龄的关系。
该研究于 2016 年在一家三级儿童医院进行。纳入的健康儿童年龄为 3.5 岁至 15 岁，包括住院患者的兄弟姐妹或医护人员的子女。使用了经过验证的自我报告问卷和内部开发的关于出口梗阻和气体相关症状的问题。
共纳入 310 名参与者（50%为女孩），回答率为 94%。受访者分为年龄较小组（3.5 岁至 7 岁，共 135 名儿童）和年龄较大组（8 岁至 15 岁，共 175 名儿童）。年龄较小的儿童报告的恶臭气味比年龄较大的儿童多（50%比 29%，p=0.001），出口梗阻症状也更多（21%比 10%，p=0.01）。在便秘方面，两个年龄组之间没有差异（19%比 16%，NS）。总体而言，55%的便秘儿童没有接受治疗，尽管他们报告有腹痛（51%）和恶臭问题（57%）。
健康儿童经常报告便秘、腹痛和气体相关问题，但治疗却很少。总的来说，儿童期肠道功能似乎有所改善，尽管便秘仍未得到充分治疗。
