深圳市南山区学龄期儿童再发性腹痛流行病学调查

目的 调查深圳市南山区学龄期儿童再发性腹痛(RAP)的患病率,探讨本地区儿童RAP的相关危险因素.方法 以随机整群抽样和分层随机抽样相结合的方法确定样本,2006年9月-2007年6月随机选取3所深圳市南山区公立小学6～12岁学龄期儿童2 100例为调查对象,采用问卷调查与体检相结合的形式进行调查.有腹痛病史的儿童到本院专科门诊进一步确诊.结果 发放调查问卷2 100份,有效调查人数为1 835例.男949例,女886例,男女=1.071;符合RAP儿童182例,本地区学龄期儿童RAP患病率为9.92%,其中103例(63.19%)为女童;器质性腹痛19例(10.44%),非器质性腹痛163例(89.56%).相关影响因素经Logistic分析显示:教育方式(OR:2.677,95% CI:1.046～6 847)、家庭和睦程度(OR:2.198,95% CI:0.672～7.193)、学习负担(OR:1.587,95% CI:0.633～3.978)及儿童气质类型(OR:1.554,95% CI:1.055～2.289)4个因素有统计学意义.结论 深圳市南山区学龄期儿童RAP患病率为9.92%,女童发病高于男童,非器质性RAP占绝大多数.儿童气质类型、父母教育方式、学习负担、家庭是否和睦等是RAP的相关危险因素.

Investigation of Epidemiology for Recurrent Abdominal Pain among School Children in Nanshan Area in Shenzhen

Objective To investigate the morbidity and the risk factors for recurrent abdominal pain(RAP) among school children in Nanshan area in Shenzhen.Methods A self-administered parental questionnaire was distributed to 2 100 randomly selected school children,aged 6-12 years in Nanshan area in Shenzhen between Sep.2006 and Jun.2007.RAP was diagnosed using Apley.Results A total of 1 835 questionnaires were returned,of which 949 cases were male and 886 cases were female(male:female=1.071);182 cases(9.92%) had RAP,of which 19 cases(10.44%) had organic abdominal pain,while 163 cases(89.56%) didn′t have organic abdominal pain,and 103 cases(63.19%) were girls.By Logistic analysis,education mode(OR:2.677,95% CI:1.046-6.847),family atmosphere(OR:2.198;95% CI:0.672-7.193),study pressure(OR:1.587,95% CI:0.633-3.978) and temperament type(OR:1.554,95% CI:1.055-2.289) had statistic significance.Conclusions The morbidity of RAP among school children in Nanshan area in Shenzhen was 9.92%,of whom,girls were higher than boys,and the majority didn′t have any organic cause.Temperament type,education mode,study pressure,and family atmosphere may be the risk factors of RAP.