摘要
目的调查功能性便秘(FC)患儿肛门直肠动力学异常情况,分析影响儿童罹患FC的可能危险因素,并探讨其预防护理对策。方法将2017年2月—2020年1月在医院接受治疗的FC患儿158例设为观察组,按照1:1选择性别、年龄可比的158例健康儿童设为对照组,比较两组受试儿童肛门直肠动力学异常情况,分析儿童发生FC的危险因素。结果观察组患儿肛门括约肌最大收缩压、直肠最低敏感量、直肠最大耐受量较对照组受试患儿高(P<0.05);观察组患儿饮食中果蔬比例、不良排便习惯占比、抗生素暴露占比、主要照护人对FC相关知识认知合格率与对照组比较差异有统计学意义(P<0.05)。多因素Logistic逐步回归分析结果显示,每日活动量<5 h、饮食中果蔬比例<20%、不良排便习惯、抗生素暴露是儿童发生FC的独立危险因素,而主要照护人对FC相关知识认知是其保护因素。结论FC患儿存在肛门直肠动力的异常,且与儿童不良生活习惯、抗生素暴露等密切相关,加强儿童照护者健康宣教,养成良好饮食、生活习惯,尽可能避免抗生素暴露,对降低儿童FC发生率,提高儿童健康水平具有重要临床意义。
Objective To investigate the abnormalities of anorectal dynamics in children patients with functional constipation(FC),analyze the possible risk factors that affect children with FC,and discuss its preventive and nursing strategies.Methods A total of 158 children patients with FC who were treated in the hospital from February 2017 to January 2020 were set as an observation group,and 158 healthy children patients with comparable gender and age were selected according to 1:1 as a control group,and the two groups were compared.We tested the abnormalities of children's anorectal dynamics and analyzed the risk factors of children patietns with FC.Results The maximum systolic pressure of the anal sphincter,the minimum rectal sensitivity,and the maximum tolerance of the rectum in the observation group were higher than those in the control group(P<0.05).The proportion of fruits and vegetables in the diet of children patients in the observation group,the proportion of bad bowel habits,the proportion of antibiotic exposure,and the pass rate of the main caregivers'cognition of FC-related knowledge were statistically diff erent from those in the control group(P<0.05).Multivariate Logistic stepwise regression analysis showed that the daily activity level<5 hours,the proportion of fruits and vegetables in the diet<20%,poor bowel habits,and antibiotic exposure were the independent risk factors for children patients with FC,and the main caregivers'knowledge of FC was the protective factor.Conclusion The children patients with FC have abnormal anorectal motility,which was closely related to children’s bad living habits and antibiotic exposure.Strengthening the health education of child caregivers,developing good diet and living habits,and avoiding antibiotic exposure as much as possible is of great clinical signifi cance for reducing the incidence of children with FC and improving children's health.
作者
艾长玲
AI Changling(Women and Children's Hospital of Zhumadian Central Hospital,Zhumadian,463000,China)
出处
《护理实践与研究》
2022年第2期203-207,共5页
Nursing Practice and Research
基金
河南省医学科技攻关计划项目(编号:2018021169)。
