Ji W J, Liang A M, Qu C Y, Shen R Y, Wei Z, Ma Y
Department of Health, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing 100045, China.
School of Public Health, Shanxi Medical University, Taiyuan 030001, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2018 Sep 10;39(9):1179-1183. doi: 10.3760/cma.j.issn.0254-6450.2018.09.007.
Regurgitation, infantile colic, and functional constipation are common gastrointestinal symptoms in childhood, the aim of this study was to explore the prevalence and distribution of these symptoms in China. A screening program in infants aged 0 to 3 years selected through stratified cluster random sampling was carried out in 7 cities in China. Questionnaires were filled, and then diagnosis were made according to Rome Ⅳ criteria. Areas, (urban-rural), age and gender distribution of prevalence of childhood common gastrointestinal symptoms were analyzed. Totally, 20 932 effective questionnaires were returned. The total number of infants aged 0 to 1 years was 10 193. Regurgitation was diagnosed in 1 960 infants, with the prevalence of 19.2, among infants aged 0 to 3 months that had highest prevalence (29.8). The prevalence decreased with age, and differences among different age groups showed significant. For infantile colic, 4 470 infants aged 0 to 5 months were analyzed and the prevalence of infantile colic was 7.3. The prevalence of infantile colic was the highest in infants aged 1 to 2 months (10.0). Age specific difference was significant. Of all the infants, functional constipation was diagnosed in 1 755 infants with the prevalence of 8.4, and the lowest prevalence was found in infants aged 0 to 3 months (6.2), and the highest prevalence was in infants aged 30 to 36 months (10.0). The differences in different age group were significant. Symptoms of regurgitation, infantile colic, and functional constipation are common in infants in China, with age specific difference in prevalence of the symptoms.
反流、婴儿腹绞痛和功能性便秘是儿童期常见的胃肠道症状,本研究旨在探讨这些症状在中国的患病率及分布情况。在中国7个城市对通过分层整群随机抽样选取的0至3岁婴儿开展了一项筛查项目。填写问卷,然后根据罗马Ⅳ标准进行诊断。分析了儿童常见胃肠道症状患病率的地区(城乡)、年龄和性别分布情况。共回收有效问卷20932份。0至1岁婴儿总数为10193名。1960名婴儿被诊断为反流,患病率为19.2%,在患病率最高的0至3个月婴儿中为29.8%。患病率随年龄降低,不同年龄组间差异有统计学意义。对于婴儿腹绞痛,分析了4470名0至5个月的婴儿,婴儿腹绞痛患病率为7.3%。婴儿腹绞痛患病率在1至2个月婴儿中最高(10.0%)。年龄特异性差异有统计学意义。在所有婴儿中,1755名婴儿被诊断为功能性便秘,患病率为8.4%,在0至3个月婴儿中患病率最低(6.2%),在30至36个月婴儿中患病率最高(10.0%)。不同年龄组间差异有统计学意义。反流、婴儿腹绞痛和功能性便秘症状在中国婴儿中很常见,这些症状的患病率存在年龄特异性差异。