| 纪文静,梁爱民,曲成毅,沈瑞云,魏庄,马扬.中国7个城市婴幼儿常见胃肠道不适症状流行病学特征现况调查[J].Chinese journal of Epidemiology,2018,39(9):1179-1183 |
| 中国7个城市婴幼儿常见胃肠道不适症状流行病学特征现况调查 |
| Epidemiologic survey on the prevalence and distribution of infants' common gastrointestinal symptoms in 7 cities in China: a population-based study |
| Received:October 25, 2017 |
| DOI：10.3760/cma.j.issn.0254-6450.2018.09.007 |
| KeyWord: 胃肠道症状 反流 肠绞痛 便秘 流行病学 婴幼儿 |
| English Key Word: Gastrointestinal symptom Regurgitation Infantile colic Constipation Epidemiology Infants |
| FundProject: |
| Author Name | Affiliation | E-mail | | Ji Wenjing | Department of Health, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing 100045, China | | | Liang Aimin | Department of Health, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing 100045, China | liang-aimin@163.com | | Qu Chengyi | School of Public Health, Shanxi Medical University, Taiyuan 030001, China | | | Shen Ruiyun | Department of Health, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing 100045, China | | | Wei Zhuang | Department of Health, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing 100045, China | | | Ma Yang | Department of Health, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing 100045, China | |
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| Abstract: |
| 目的 对中国7个城市0～3岁婴幼儿常见的胃肠道不适症状进行现况调查，探讨婴幼儿常见胃肠道不适症状的患病率和流行病学特征。方法 应用分层、整群随机抽样方法对中国7城市0～3岁常住婴幼儿进行问卷调查，根据调查结果，按国际通用的婴幼儿功能性胃肠病Rome Ⅳ诊断标准判断常见胃肠道不适症状的患病率，并分析其地域、城乡、年龄和性别分布特征。结果 共回收有效问卷20 932份。0～1岁婴儿共10 193人，出现反流者共1 960人，患病率为19.2%，0～3月龄婴儿反流的患病率最高（29.8%），之后随年龄增加逐渐降低，不同年龄组间差异有统计学意义。0～5月龄婴儿共4 470人，出现肠绞痛者共325人，患病率为7.3%，1～2月龄婴儿肠绞痛的患病率最高（10.0%），不同年龄组婴儿肠绞痛的患病率差异有统计学意义。在0～3岁婴幼儿中，功能性便秘者1 755人，患病率为8.4%，0～3月龄婴儿患病率最低（6.2%），30～36月龄婴儿患病率最高（10.0%），不同年龄组间便秘的患病率差异有统计学意义。结论 反流、肠绞痛、功能性便秘等胃肠道症状在健康婴幼儿中普遍存在，患病率有明显的年龄差异特点。 |
| English Abstract: |
| Objective 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. Methods 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. Results 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. Conclusion Symptoms of regurgitation, infantile colic, and functional constipation are common in infants in China, with age specific difference in prevalence of the symptoms. |
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