新疆地区单中心儿童胃镜应用分析

Analysis of the application of gastroscopy for children in single center in Xinjiang

目的探讨儿童胃镜在新疆地区运用概况及相关影响因素。方法回顾性分析新疆地区单中心接受胃镜检查的120例儿童的临床资料,筛选出100例病人作为观察组,随机选取相同时间段就诊未做胃镜检查的153人作为对照组。采用问卷调查方式调查可能影响当地患儿胃镜检查意愿倾向性的因素。结果腹痛是检查最主要主诉,慢性胃炎诊断最多,全组未发生出血、穿孔等并发症。单因素Logistic回归分析显示,家庭成员数,父母受教育程度,父母胃病史,家庭年收入,居住农村,非汉族及喜吃肉食的本地区人群在出现消化道症状时更倾向于做胃镜。多因素Logistic回归分析显示,年龄越大,男孩,家庭成员数越多,父母受教育程度越高,父母有胃病史、家庭年收入越高、居住农村、喜吃肉食的人群在出现消化道症状时更倾向于做胃镜筛查。结论儿童胃镜在是安全可行的,在新疆地区具有较高的临床应用价值。家庭成员数增多,父母受教育程度的增高,父母有胃病史,家庭年收入越高,居住农村,非汉族及喜吃肉食的本地区儿童在出现消化道症状时更愿倾向于胃镜检查。

Objective To explore the overview of the use of pediatric gastroscopy in Xinjiang and related influencing factors.Methods The clinical data of 120 children who underwent gastroscopy in a single center in Xinjiang were retrospectively analyzed,and 100 patients were screened as the observation group,and 153 who visited the same time period without gastroscopy were randomly selected as the control group.A questionnaire was used to investigate the factors that might influence the propensity of local children's willingness to undergo gastroscopy.Results Abdominal pain was the most predominant complaint on examination and chronic gastritis was the most frequently diagnosed,with no complications such as bleeding or perforation in the whole group.One-way logistic regression analysis showed that the number of family members,parental education,parental history of gastric disease,annual family income,rural residence,ethnicity and meat-loving people in the region were more inclined to have gastroscopy when gastrointestinal symptoms were present.Multi-factor logistic regression analysis showed that people with older age,boys,more family members,higher parental education,parental history of gastric disease,higher annual family income,rural residence,and meat preference were more likely to have gastroscopy screening when they had gastrointestinal symptoms.Conclusion Gastroscopy in children is safe and feasible and has a high clinical application value in Xinjiang region.Children in the region with more family members,higher parental education,parents with a history of gastric disease,higher annual family income,rural residence,non-Han Chinese and meat lovers are more likely to prefer gastroscopy when they have gastrointestinal symptoms.