CAJ | 학술논문

目的调查轻度胃肠功能紊乱在中国上海市闵行区婴幼儿中的发病情况.方法收集并分析2008年4月至6月上海市闵行区12个社区中5030例0-24个月的婴幼儿的问卷调查及营养生长情况.结果在受调查的5030例中,发生或曾发牛过胃肠功能紊乱的婴幼儿1909例(38.0%),性别差异无统计学意义(P=0.06).5030例受调查婴幼儿中,690例(13.7%)发牛便秘,619例(12.3%)发生腹泻,899例(17.9%)发生溢乳/吐奶,71例(1.4%)发生肠痉挛.不同年龄组胃肠功能紊乱患病率差异有统计学意义,其中便秘及溢乳/吐奶随着年龄的增加患病率显著降低(P<0.01),而腹泻则随着年龄增加发生率递增(P<0.01).胃肠功能紊乱与父母胃肠疾病、辅食的添加、呼吸道感染有一定关系.发生胃肠功能紊乱后,腹泻就诊率62.7%,其他症状就诊率在4.5%～16.9%之间.有胃肠功能紊乱者,尤其是溢乳/吐奶患儿,其营养、生长指标均较无胃肠功能紊乱者低下.结论婴幼儿胃肠功能紊乱较为常见,就诊率不高,对婴幼儿营养状态、生长有一定的影响.
목적 조사경도위장공능문란재중국상해시민행구영유인중적발병정황.방법 수집병분석2008년4월지6월상해시민행구12개사구중5030례0-24개월적영유인적문권조사급영양생장정황.결과 재수조사적5030례중,발생혹증발우과위장공능문란적영유인1909례(38.0%),성별차이무통계학의의(P=0.06).5030례수조사영유인중,690례(13.7%)발우편비,619례(12.3%)발생복사,899례(17.9%)발생일유/토내,71례(1.4%)발생장경련.불동년령조위장공능문란환병솔차이유통계학의의,기중편비급일유/토내수착년령적증가환병솔현저강저(P<0.01),이복사칙수착년령증가발생솔체증(P<0.01).위장공능문란여부모위장질병、보식적첨가、호흡도감염유일정관계.발생위장공능문란후,복사취진솔62.7%,기타증상취진솔재4.5%～16.9%지간.유위장공능문란자,우기시일유/토내환인,기영양、생장지표균교무위장공능문란자저하.결론 영유인위장공능문란교위상견,취진솔불고,대영유인영양상태、생장유일정적영향.
Objective To determine the prevalence of functional gastrointestinal disorders in children in Shanghai.Method This study was conducted on the infants and young children who were below 24 months of age recruited consecutively from April 2008 to June 2008 from the 12 communities in Minhang district in Shanghai.The questionnaire on gastrointestinal symptoms and growth was sent to 5030 children <24 months old.The age distribution of the 5030 children was:<6 mornths:1922 infants(38.2%).6-<12 months:1933(38.4%)infants;12-<18 months:811(16.1%)children;18-<24 months:364(7.2%)children.Result Among the 5030 children,1909 had gastrointestinal disorders(38.0%).There was no significant difference in the rate of the disorders between sexes(P=0.06).Regurgiration was found in 899(17.9%)infants/children,constipation in 690(13.7%),619(12.3%)infants/children suffered from diarrhea and only 71(1.4%)suffered from colic.The incidence of gastrointestinal disorders was significantly different among different age groups.The incidence of constipation and regurgiration decreased and the incidence of diarrhea increased with growth(P<0.01).Infants growth parameters in the group with gastrointestinal disorders especially in those with regurgiration were lower than those without gastrointestinal disorders,the difference is statistically significant.The hospital visit rate of infants with diarrhea was 62.68%,which was higher than the rate of the other three symptoms(4.45%-16.90%).Conclusion Gastrointestinal disorders are common in infants and young children in Shanghai and may have a great impact on growth.Early management could relieve the disorders and ensure infants to get normal growth and development.