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Constipation is the Most Frequent Cause of Chronic Abdominal Pain in Children

机译:便秘是儿童慢性腹痛的最常见原因

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The aims of the study were to identify the frequency and causes of chronic abdominal pain in a large academic primary care population at the University of Iowa Children’s Hospital. We evaluated retrospectively the complete charts of children ≥4 years old, seen for at least one health maintenance visit in the primary paediatric clinic during a 6-month period, for complaints and causes of chronic abdominal pain. Of 493 boys and 469 girls with a mean age of 9.1 years, 12.7% had been evaluated for chronic abdominal pain. Constipation as cause of abdominal pain occurred in 83%, childhood functional abdominal pain in 8%, colic in 5%, gastroesophageal reflux in 2% and infection in 2%. The life-time prevalence rate for chronic abdominal pain was 13.3%; was due to functional causes in 13.1% and due to organic diseases in 0.2%. Functional constipation was the most frequent cause of chronic abdominal pain in a large primary care paediatric population.
机译:该研究的目的是确定爱荷华大学儿童医院的大量学术初级保健人群中慢性腹痛的发生频率和原因。我们回顾性评估了≥4岁儿童的完整病历表,这些病历是在六个月内至少在初级儿科诊所进行了一次健康维持就诊,以了解主诉和慢性腹痛的原因。平均年龄为9.1岁的493名男孩和469名女孩中,有12.7%的人患有慢性腹痛。便秘是造成腹痛的原因,占83%,儿童期功能性腹痛占8%,绞痛占5%,胃食管反流占2%,感染占2%。慢性腹痛的终生患病率为13.3%;归因于功能性原因的占13.1%,归因于器质性疾病的占0.2%。在许多初级保健小儿人群中,功能性便秘是引起慢性腹痛的最常见原因。

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