中国循证儿科杂志2017，Vol.12Issue(3)：170-174,5.DOI:10.3969/j.issn.1673-5501.2017.03.003
基于横断面调查的儿童胃镜检查适应证及其与胃显著病变的相关性分析
A cross-sectional study of indications of esophageal gastroduodenoscopy in children and the correlation analysis of indications and significant findings
王胜楠 1陆晓岚 1陈莲 2黄瑛1
作者信息
- 1. 复旦大学附属儿科医院消化科 上海,201102
- 2. 复旦大学附属儿科医院病理科 上海,201102
- 折叠
摘要
Abstract
ObjectiveAn investigation about esophageal gastroduodenoscopy (EGD) was performed, and the association between the symptoms or history and significant findings was analyzed.MethodsThis cross-sectional study was conducted through a questionnaire formulated by ourselves.Then we chi-square statistical test and multivariate Logistical regression were used to analyze the correlation between indications and significant findings.ResultsThe study was conducted from June 10, 2016 to October 7, 2016.And 1298 cases (male 766) were enrolled.The age was from 0.1 to 17.6 (average age: 8.0+0.01) years.Patients with abdominal pain accounted for 78.0%, then anorexia 31.3%, having breath 24.9%, having evidence for Helicobacter pylori infection 18%, nausea 17%, vomiting 16.7%, having a family history of Helicobacter pylori infection 13.4%.Others were all below 10%.There were 49.9 % having a significant lesion through EGD.Evidence of infection of helicobacter pylori (OR=5.10, 95% CI: 3.58 ~7.28), vomiting (OR=1.48, 95% CI: 1.08~2.04)and suspicious foreign body injection 3.25(95%CI: 1.31~8.02)were related with significant findings.While abdominal pain was related with significant findings (OR=0.73, 95% CI: 0.54~0.98), further investigation was made for abdominal pain.And it was found that the degree value of abdominal pain beyond 5 was related with significant findings (OR=1.37, 95% CI: 1.07~1.74).Conclusion78% of EGD patients are with the complain of abdominal pain.Evidence of infection of helicobacter pylori, vomiting and suspicious foreign body injection are positively related with significant findings.And the degree value of abdominal pain beyond 5 is positively related with significant findings.关键词
儿童/胃镜/适应证Key words
Children/Esophageal gastroduodenoscopy/Indications引用本文复制引用
王胜楠,陆晓岚,陈莲,黄瑛..基于横断面调查的儿童胃镜检查适应证及其与胃显著病变的相关性分析[J].中国循证儿科杂志,2017,12(3):170-174,5.
