【摘要】 目的　调查小儿功能性便秘 (FC)的发病率 ,探讨其临床特征。方法　采用整群调查方法 ,符合FC诊断者纳入观察对象 ;对确诊为FC患儿进行临床分析。结果　 1 2～ 14岁 10 0 1名儿童中FC共 38例 ,本组FC发病率为 3.8% ;城区发病率为 4 .6 5 % ,农村 2 .38% (χ2 =2 .4 8　P <0 .0 5 ) ,城区患病明显高于农村 ;男童FC患病率 2 .73% ,女童 4 .0 7% (χ2 =2 75 .81　P <0 .0 0 1) ;各年龄组患病率无差异 ;2 本组FC患儿排干硬条状成形便占 74 % ,球形硬便占 13%。 82 %患儿等待自行排便 ,多数家长未采用解除便秘措施 ;经常进行排便练习的患儿仅占 5 .2 6 % ;精神欠佳者占 2 6 % ,腹痛者占 2 1% ,伴轻度营养障碍者 6 0 % ,食欲欠佳及厌食占 34%和2 1% ,FC患儿很少进食水果及蔬菜者分别占 4 2 %及 37% ,喜甜食及肉食者为 4 0 %及 5 3%。结论　 1 本次调查小儿FC发病率为 3.8% ,城区高于农村 ,女童高于男童 ;2 FC患儿生活质量及生长发育受一定影响 ,应予以关注 ;3 FC患儿饮食结构有偏差更多还原

【Abstract】 Objective To investigate the incidence rate of children functional constipation(FC) and to find its clinical feature. Methods Children who are diagnosed of FC are chosen into the observing group with cluster sampling method , and the clinical data of these children are analysed. Results 1.There are 38 FC patient among all 1001 healthy children aged from 2 14 years.The rate of city is 4.65 %,that of countyside is 2.38 %(χ 2=2.48 P <0.05) . The incidence rate of city is significiantly higher than that of countryside’s. On the other side,the rate of male is 2.73 %, and that of female is 4.07 % (χ 2=275.81 P <0.001). 2.There are 68 % of children with FC who excrete dry and hard stool , and 13 % who excrete globular hard stool, these children may exist a functional obstruction of anus. Eighty six percent of them go to defecation by themselves , much of parents do not use any way to relieve this question .Children who with defecation training are only 5.62 % of FC children ; and there are 26 % of them with low spirit , 21 % with abdominal pain , 60 % with light malnutrition and 34 % with bad appetite ,21 % with anorexia. It’s worried that fruit and vegetables are taking little by children with FC, there are 42 % of them with less taking of fruit and 37 % with vegetables , and there are 40 % who fond of sweet and 53 % fond of meat .It shows that there are difference between the menu of FC children and other children. Conclusions 1. In this investigation ,the incidence rate of FC is 3.8 %. The incidence rate of city children is higher than that of countryside′s,and that of female is higher than that of male . 2.Growth , development and quality of life of these children are effected. 3. There are difference between the menu of FC children and other children .更多还原