深圳市南山区学龄期儿童再发性腹痛流行病学调查

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

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%C：I 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%C：I 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。

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.