摘要
【目的】探讨青少年功能性便秘(functional constipation,FC)的流行病学情况及影响因素。【方法】采用多阶段分层整群抽样的方法,对湖南省益阳市2 075名中学生进行现场调查。【结果】本地区中学生符合罗马Ⅲ诊断标准的FC患病率为6.3%,低于全国城市中小学生FC的患病率;男性患病率显著低于女性(P<0.05);高、初中学生患病率差异无统计学意义(P>0.05);FC患病率与体质指数无显著的相关性(P>0.05)。多因素Logistic回归分析表明,父母有便秘史、抑制排便、生冷食物3个因素为FC致病的危险因素,其OR值分别为3.13、2.64及1.90;纤维类食物、淀粉类食物2个因素为保护因素,其OR值分别为0.48及0.41。【结论】青少年FC患病率存在区域性与性别差异。遗传因素、不良饮食习惯、抑制排便等是青少年FC致病的影响因素。
【Objective】 To explore the prevalence of chronic functional constipation（FC） and it＇s contributing factors among adolescent population in China.【Methods】 A stratified,randomized study by cluster sampling was employed,which recruited 2 075 subjects from Yiyang in Hunan province.【Results】 The prevalence of FC in adolescent population in Yiyang was 6.3 %,and was lower than that of students from primary and middle schools in China.There was a significant difference between the genders regarding the prevalence of FC（P〈0.05）.And there was no significant difference between high schools and middle schools regarding the prevalence of FC（P〉0.05）.The prevalence of FC was not related to Body Mass Index（BMI）.By multivariate logistic regression analysis,the significant factors affecting the prevalence of FC were parents having a history of constipation,voluntary suppression of defecation,law and cold food,high-fiber diet,starchy foods（P〈0.05）.The first three factors might serve as important risk factors,and the others might be significant favorable factors. 【Conclusions】 The prevalence of FC is varied in different areas and gender.Genetic factor,unhealthy eating habit and bowel habit such as voluntary suppression of defecation may be related with the prevalence of FC in adolescent.
出处
《中国儿童保健杂志》
CAS
2010年第7期566-568,共3页
Chinese Journal of Child Health Care
关键词
功能性便秘
青少年
流行病学
functional constipation
adolescent
epidemiology
作者简介
周立平（1980-），女，湖南人，在读硕士，研究方向为青少年功能性便秘健康管理。
通信作者。
