105例学龄儿童再发性腹痛的调查分析

Reports of 105 Example with School-age Chileren Recurrent Abdominal Pain

目的调查学龄儿童再发性腹痛(recurrent abdominal pain,RAP)胃镜下表现,并分析RAP病因,探讨护理对策。方法对105例RAP学龄儿童行电子胃镜检查,钳取胃窦黏膜活组织行快速尿素酶检测。根据镜检结果判断上消化道疾病与幽门螺旋杆菌(Helicobacter Pylori HP)感染的关系,结合病史找出其疾病的诱发因素,制定个性化的护理措施。结果105例儿童均顺利完成胃镜检查,胃镜下病变检出率为97.14%,HP感染率为41.90%。所有患儿经精心治疗和护理后复诊,症状基本消失,其中2例十二指肠溃疡患儿6个月后胃镜复查提示已治愈。结论上消化道疾患是学龄儿童RAP的主要病因;HP感染是上消化道疾病的重要致病因素;而学习压力过大精神紧张和无规律饮食是学龄儿童上消化道疾病的诱发因素。有效的护理能及早发现疾病,规范治疗程序和减少诱发因素。

Objective To investigate the performance of recurrent abdominal pain children of school age under the gastroscope, analyze the cause of RAP, study the counterplan of nursing. Methods Using electronic gastrosapid to check 105 RAP chil dren Of school ages,the pliers takes stomach Dou mucosa to do quick urea enzyme examination. The judgement has HP infection or not. Work out individual nursing measure. Results 105 children complete a gastroscopic check smoothly. Under the gastroscope, the disease inspects up not rate being 97.14%. HP infection rate is 41.9%. Conclusion Top digest way disease is the main cause of RAP children of school ages, HP infection is the most important causative factor of top digest way disease. Besides , heavy presure of study ,nervousness,irregular food is the causative factor of top digest way disease of children of school ages. Effective nursing can discover the disease earlier, regulate the cure procedure and reduce the causative factors.