Timmerman Marjolijn E W, Trzpis Monika, Broens Paul M A
Department of Surgery, Division of Pediatric Surgery, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Department of Surgery, Anorectal Physiology Laboratory, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Pediatr Gastroenterol Hepatol Nutr. 2021 Jan;24(1):45-53. doi: 10.5223/pghn.2021.24.1.45. Epub 2021 Jan 8.
We aimed to compare the prevalence rates and associated symptoms of constipation and fecal incontinence in children and young adults and evaluate how these patient groups cope with these disorders.
A cross-sectional study was performed in which 212 children (8-17 years) and 149 young adults (18-29 years) from the general Dutch population completed a questionnaire about defecation disorders.
Constipation occurred in 15.6% of children and 22.8% of young adults (=0.55), while the prevalence of fecal incontinence was comparable between groups (7%, =0.91). The symptoms associated with constipation occurred as often in children as in young adults, while most fecal incontinence symptoms occurred more often in young adults. Approximately 43% of children had constipation for more than 5 years, while 26% of young adults experienced constipation since childhood. Only 27% of constipated children and 21% of constipated young adults received treatment (mostly laxatives). For fecal incontinence, 13% of children and 36% of young adults received treatment (mostly antidiarrheal medications or incontinence pads).
In contrast to the general belief, the prevalence of defecation disorders and associated symptoms seem to be comparable in children and young adults. Only a few people with defecation disorders receive adequate treatment.
我们旨在比较儿童和青年成人便秘及大便失禁的患病率和相关症状，并评估这些患者群体如何应对这些疾病。
进行了一项横断面研究，来自荷兰普通人群的212名儿童（8 - 17岁）和149名青年成人（18 - 29岁）完成了一份关于排便障碍的问卷。
便秘在15.6%的儿童和22.8%的青年成人中出现（=0.55），而大便失禁的患病率在两组间相当（7%，=0.91）。与便秘相关的症状在儿童和青年成人中出现的频率相同，而大多数大便失禁症状在青年成人中出现得更频繁。约43%的儿童便秘超过5年，而26%的青年成人自童年起就患有便秘。仅有27%的便秘儿童和21%的便秘青年成人接受了治疗（大多为泻药）。对于大便失禁，13%的儿童和36%的青年成人接受了治疗（大多为止泻药或失禁垫）。
与普遍看法相反，排便障碍及相关症状的患病率在儿童和青年成人中似乎相当。只有少数排便障碍患者得到了充分治疗。
