Correlation analysis of functional constipation and its related factors with acute appendicitis in children
10.3760/cma.j.issn.1673-4912.2024.08.008
- VernacularTitle:功能性便秘及其相关因素与儿童急性阑尾炎的相关性分析
- Author:
Na FAN
1
;
Anding ZHANG
;
Chunhui WANG
;
Lingchao ZENG
;
Yuanxia LI
;
Yan LIN
;
Xia YU
;
Yalong ZHANG
;
Yaxing HUI
;
Yang DAI
;
Xun JIANG
Author Information
1. 空军军医大学第二附属医院儿科，西安 710000
- Keywords:
Acute appendicitis;
Functional constipation;
Influencing factors;
Children
- From:
Chinese Pediatric Emergency Medicine
2024;31(8):597-601
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the correlation between functional constipation （FC）and its related factors with acute appendicitis（AA）in children，so as to provide a reference for the prevention and clinical diagnosis and treatment of children with AA. Methods:A case-control study was conducted on 170 children diagnosed with AA in the Department of Pediatrics，the Second Affiliated Hospital of Air Force Military Medical University，from August 2022 to March 2023，and 170 non-AA children during the same period were selected as control objects.The clinical data，incidence of FC，symptoms related to FC，Bristol stool classification，past constipation history and other information were compared between two groups.Results:The incidence of FC in 170 children with AA was 22.9%（39/170），which was significantly higher than 10.6%（18/170）in the non-AA group（ P<0.01）；For children under four years old，the proportion of faecal retention in AA group was higher than that in non-AA group（25.6% vs. 9.3%, P<0.05）；For children ≥ 4 years old，the proportion of faecal retention and dyschezia in AA group were higher than those in non-AA group（28.2% vs. 6.9%，29.0% vs. 16.4%，respectively,all P<0.05）.The proportion of past constipation history in AA group was higher than that in non-AA group（29.4% vs.14.1%）.The duration of constipation in AA group was longer than that in non-AA group [0.00（0.00，1.25）month vs. 0.00（0.00，0.00）month,all P<0.01].The proportion of children with low Bristol stool classification in AA group was higher than that in non-AA group（ P<0.01）.Multivariate Logistic regression analysis showed that faecal retention[ OR=6.186（95% CI 2.336~16.380）] and long constipation time [ OR=1.310（95% CI 1.095~1.567）]were independent risk factors for AA in children（all P<0.05）. Conclusion:The incidence of faecal retention in children with AA is higher than that in children without AA，and the median duration of constipation is longer than that in children without AA.Fecal retention and long-term constipation are independent risk factors for AA in children.
