膀胱过度活动症儿童情绪和行为异常相关因素分析

Analysis of related factors of emotional and behavioral abnormalities in children with overactivity of bladder

目的分析膀胱过度活动症(OAB)儿童情绪和行为异常的相关影响因素。方法对2022年9月—2022年12月河南省某县在5032名儿童调查发现的385例OAB儿童(6~16岁)进行OAB症状评分表(OABSS)、长处和困难问卷(SDQ)及儿童睡眠调查表(PSQ)结果分析。依据SDQ得分情况分为得分异常组(ASG)(≥20分)和得分正常组(NSG)。结果ASG占比35.7%(137/385),NSG64.3%(248/385例)。性别、照顾者受教育程度、体质量指数(BMI)、年龄、便秘、遗尿症、OAB的严重程度与OAB出现情绪和行为异常显著相关(P<0.05)。ASG患儿在情绪症状、品行问题、多动症状、同伴交往及睡眠方面与NSG相比,差异具有统计学意义(P<0.001)。多因素回归分析显示ASG在性别、照顾者受教育程度、BMI、年龄、便秘、遗尿症、OAB的严重程度、PSQ总分方面与NSG有显著统计学差异(P<0.05)。结论OAB儿童情绪和行为异常的发生率较高;女性、高BMI、青春期、合并便秘、遗尿症和重度OAB为相关因素。

Objective To analyze the related factors of emotional and behavioral abnormalities in children with overactive bladder(OAB).Methods OAB children(aged 6 to 16 years)in a survey of 5032 children from a county in Henan Province during Sep.2022 and Dec.2022 were identified and surveyed with Overactive Bladder Symptom Score(OABSS),Strength and Difficulties Questionnaire(SDQ)and Pediatric Sleep Questionnaire(PSQ).According to the SDQ score,they were divided into abnormal group(SDQ≥20)and normal group.Results There were 35.7%(137/385)cases in the abnormal group and 64.3%(248/385)in the normal group.Gender,education level of caregivers,body mass index(BMI),age,constipation,enuresis and severity of OAB were significantly associated with emotional and behavioral abnormalities(P<0.05).Children in the abnormal group showed significant differences in emotional symptoms,conduct problems,hyperactivity symptoms,peer interaction and sleep(P<0.001).Multivariate regression analysis revealed significant differences in gender,educational level of caregi-vers,BMI,age,constipation,enuresis,severity of OAB and PSQI between the two groups(P<0.05).Conclusion The prevalence of emotional and behavioral abnormalities is high in children with OAB,which is related to female gender,high BMI,puberty,constipation,enuresis and severity of OAB.