Suppr超能文献

巴西南部儿科患者的功能性便秘:一项观察性研究

Functional constipation in pediatric patients: an observational study in southern Brazil.

作者信息

Cardoso Anita Dos Santos, Oliveira Laura Bittencourt de, Sonego Mayra

机构信息

Medical Student, Department of Health Sciences, Universidade do Extremo Sul Catarinense (Unesc), Criciúma (SC), Brazil.

Pediatrician; Professor, Department of Health Sciences, Universidade do Extremo Sul Catarinense (Unesc), Criciúma (SC), Brazil.

出版信息

Sao Paulo Med J. 2025 Sep 1;143(6):e20252853. doi: 10.1590/1516-3180.2025.2853.13062025. eCollection 2025.

Abstract

BACKGROUND

Functional constipation is characterized by a set of symptoms including hardened stools, abdominal discomfort, a tendency to retain stools, and eventual fecal incontinence. This condition negatively affects the quality of life of the affected individuals and has potential psychosocial repercussions.

OBJECTIVES

To assess the epidemiological, clinical, and therapeutic aspects of functional constipation in patients treated at a pediatric gastroenterology outpatient clinic.

DESIGN AND SETTING

Descriptive observational study with a quantitative approach using secondary data collected from the medical records of a pediatric gastroenterology outpatient clinic in Criciúma between 2018 and 2023.

METHODS

This study was approved by the Human Research Ethics Committee of the Universidade do Extremo Sul Catarinense (Unesc) under number 6.788.465. Sociodemographic, clinical, and therapeutic variables were evaluated in 67 patients aged 0-18 years who were diagnosed with Functional Constipation (ICD K590) during the study period. Data were analyzed using descriptive statistics in the Statistical Package for the Social Sciences (SPSS), version 25.0.

RESULTS

There was a predominantly female profile (36; 53.7%), with an average age at diagnosis of 7.75 years (± 3.96). The main symptoms included abdominal pain (52, 77.6%) and hardened stools (42, 62.7%), with an average interval of 4 days between bowel movements. Treatment consisted of macrogol prescriptions (60, 89.6%), with most patients showing complete symptom improvement (49, 73.1%).

CONCLUSION

Analysis of medical records highlighted the need for continuous monitoring and targeted interventions, considering the variability of symptoms and individual characteristics of patients.

摘要

背景

功能性便秘的特征是一系列症状,包括大便干结、腹部不适、有大便潴留倾向以及最终出现大便失禁。这种情况会对受影响个体的生活质量产生负面影响,并具有潜在的心理社会影响。

目的

评估在儿科胃肠病门诊接受治疗的功能性便秘患者的流行病学、临床和治疗方面的情况。

设计与背景

采用描述性观察研究,定量方法使用从2018年至2023年在克里西乌马的一家儿科胃肠病门诊病历中收集的二手数据。

方法

本研究获得了南圣卡塔琳娜大学(Unesc)人类研究伦理委员会的批准,批准号为6.788.465。在研究期间,对67名年龄在0至18岁之间被诊断为功能性便秘(ICD K590)的患者的社会人口统计学、临床和治疗变量进行了评估。数据使用社会科学统计软件包(SPSS)25.0版中的描述性统计进行分析。

结果

主要为女性(36例;53.7%),诊断时的平均年龄为7.75岁(±3.96)。主要症状包括腹痛(52例,77.6%)和大便干结(42例,62.7%),排便间隔平均为4天。治疗包括服用聚乙二醇处方(60例,89.6%),大多数患者症状完全改善(49例,73.1%)。

结论

病历分析强调,考虑到症状的变异性和患者的个体特征,需要进行持续监测和有针对性的干预。

相似文献

1
Functional constipation in pediatric patients: an observational study in southern Brazil.
Sao Paulo Med J. 2025 Sep 1;143(6):e20252853. doi: 10.1590/1516-3180.2025.2853.13062025. eCollection 2025.
2
Osmotic and stimulant laxatives for the management of childhood constipation.
Cochrane Database Syst Rev. 2016 Aug 17;2016(8):CD009118. doi: 10.1002/14651858.CD009118.pub3.
3
Management of faecal incontinence and constipation in adults with central neurological diseases.
Cochrane Database Syst Rev. 2014 Jan 13;2014(1):CD002115. doi: 10.1002/14651858.CD002115.pub5.
4
Management of faecal incontinence and constipation in adults with central neurological diseases.
Cochrane Database Syst Rev. 2013 Dec 18(12):CD002115. doi: 10.1002/14651858.CD002115.pub4.
5
Osmotic and stimulant laxatives for the management of childhood constipation.
Cochrane Database Syst Rev. 2012 Jul 11(7):CD009118. doi: 10.1002/14651858.CD009118.pub2.
7
Interventions for preventing postpartum constipation.
Cochrane Database Syst Rev. 2015 Sep 18;2015(9):CD011625. doi: 10.1002/14651858.CD011625.pub2.
8
Interventions for treating constipation in pregnancy.
Cochrane Database Syst Rev. 2015 Sep 4;2015(9):CD011448. doi: 10.1002/14651858.CD011448.pub2.
9
Dietary interventions for recurrent abdominal pain in childhood.
Cochrane Database Syst Rev. 2017 Mar 23;3(3):CD010972. doi: 10.1002/14651858.CD010972.pub2.

本文引用的文献

1
Relationship between psychological stress with functional constipation in children: a systematic review.
Pan Afr Med J. 2023 Sep 7;46:8. doi: 10.11604/pamj.2023.46.8.41130. eCollection 2023.
3
An Update of Pharmacological Management in Children with Functional Constipation.
Paediatr Drugs. 2023 May;25(3):343-358. doi: 10.1007/s40272-023-00563-0. Epub 2023 Mar 20.
4
Constipation in Children and Adolescents.
Dtsch Arztebl Int. 2022 Oct 14;119(41):697-708. doi: 10.3238/arztebl.m2022.0309.
6
Prevalence and clinical characteristics of constipation in children in Specialized Sam Pediatric Center Sana'a, Yemen.
Minerva Pediatr (Torino). 2022 Jun;74(3):313-317. doi: 10.23736/S2724-5276.16.04493-5.
8
The magnitude and management of functional constipation at pediatric gastroenterology clinics: A survey study of various countries.
J Gastroenterol Hepatol. 2022 Jan;37(1):89-96. doi: 10.1111/jgh.15671. Epub 2021 Sep 13.
9
Constipation in Pediatrics: A Clinical Review.
Pediatr Ann. 2021 Aug;50(8):e320-e324. doi: 10.3928/19382359-20210714-01. Epub 2021 Aug 1.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验