【摘要】 目的 :探讨学龄期儿童功能性再发性腹痛 (RAP)的影响因素及临床意义。方法 :根据病史、临床表现及理化检查排除器质性RAP ,对确诊的 2 2 0例功能性RAP患儿用非条件Logistic回归分析1 4项可能与其发病有关的因素。结果 :在α =0 .0 5的水准上 ,非条件Logistic回归模型按对功能性RAP影响程度的大小排列 ,选入心理、环境、植物神经功能失调、胃肠功能失调、饮食单一、痛觉敏感 6个因素。剔除无统计学意义的性别、身高、体重、围产窒息 ,父、母年龄和父、母文化程度 8个自变量。结论 :学龄期儿童功能性RAP的影响因素为心理、环境、植物神经功能失调、胃肠功能失调、饮食单一、痛觉敏感。了解学龄期儿童功能性RAP的发病因素 ,为做好鉴别诊断、排除器质性RAP ,采取心理治疗、养成良好饮食、排便习惯、建立随访制度等综合措施提供帮助更多还原

【Abstract】 Objective: To research the affected factors of school-age children’s functional recurrent abdominal pain (RAP) and it’s clinical significance. Methods: Organic diseases were eliminated according to disease history, clinical act and physical or chemical examination and 220 functional RAP children with 14 aspects concerning caused factors were analyzed by logistic regression. Results:When α=0.05, from big to small, psychology, environment, functional disorders of vegetable nurse, dysfunctional stomach and enteron, single diet and painful sensibility were included into logistic regression model. And the other 8 aspects: sex, height, weight, peri-confinement choke, the parents (father and mother)’ age and the parents (father and mother)’ educated degree, which had lost its statistical significance, were eliminated. Conclusion: The affected factors of school-age children’s functional RAP were psychology, environment, functional disorders of vegetable nurse, dysfunctional stomach and enteron, single diet and painful sensibility. The investigations about those affected factors of school-aged children, functional RAP can help us in many integrated measures. From discriminated diagnose, eliminate organic diseases, psychological cure, have good habits in diet and defecation to set up periodic investigation systems.更多还原