| Objective:To understand functional constipation prevalence between junior students in Xinzhou’s key middle schools,and analysis the influence factors of functional constipation of junior students,which will provide evidence for studies on the cause of functional constipation of middle school students and preventive measures.Functional constipation epidemiological investigation on junior students of key middle schools in Xinzhou city and the analysis of related factors.Methods:Taking all junior students in Xinzhou’s key middle school as the research object,by reference to the Roman Ⅲ Children’s functional constipation diagnosis standard and unified Roman pediatric functional gastrointestinal disease diagnosis poll at home and abroad in self form of questionnaire of group(11~15 years old),and SCARED Screen for Child Anxiety Related Emotional Disorders to set questionnaire,adopting the questionnaire survey form,it is accomplished through a unified trained investigators guiding students themselves on site.Recycling effective questionnaire 2238,of which include 1118 men,1120 women;Functional constipation diagnosis criteria chooses the standard Ⅲ of Rome released by the United States Digestive Disease Week on 2006,6(DDW2006).Results:1.There are 712 patients being in line with the Rome diagnostic criteria of functional constipation in the surveyed 2238 junior students of middle schools,the prevalence of being attacked by the disease is 31.81%,among which 362 were male(50.84%),female,350 cases(49.16%).2.There are some symptoms between Students who conform to functional constipation.Students who suffer from defecate less(less than or equal to 2 times per week)have proportions of 30.06%,arduous defecation 84.83%,block defecation(very hard)or hard(20.65%),with 59.83% of endless defecation,20.65% of them feel fear before the defecation,using laxatives or laxatives help to defecate accounted for 11.94%.3.There are 253 patients repeatedly not independently belching existing in children with functional constipation(35.53%),310 cases had symptoms of abdominal distension(43.54%),its 335 patients exist the symptoms of abdominal pain(43.54%),255 cases had nausea and vomiting after the dinner(35.81%).The rate of Symptoms was significantly higher than that of the non-constipated group students(P<0.001).4.Regarding the single factor analysis(P<0.05)and professionally meaningful factors as independent variables and it is whether the occurrence of functional constipation as the dependent variable to conduct multivariable Logistic regression analysis,taking the method of gradually into choice,enter and exclusion criteria are 0.05 and 0.10 respectively,the results are as follows: as the stable food and its supplement are dummy variable,staple food is mainly for reference,the daily water consumption,examination mood,relationships with classmates,do household chores,and relationship with parents were independent factors of functional constipation,results show that the more daily-water consumption and the better relationships with classmates,the more often do the housework,the more harmonious relationship between parents is the protection factor of functional constipation,the more nervous mood when they have final exams are the risk factors of functional constipation.However,it still can’t believe that they were independently influence factors of functional constipation,such as eating the vegetables.the stable foodand its supplements.and eat fruit several times a week,etc.Conclusion:1.In this special group the key junior high school students,the prevalence of their functional constipation is on the high side,bad living habits and psychosocial stress are the risk factors.2.Relevant Authorities should propose this group to establish a healthy diet behavior and the reasonable lifestyles,which are not only to strengthen physical exercise,but to pay more attention to the channel of students examination anxiety emotion;Positive communication,he construction of a harmonious family relationships will reduce the occurrence of functional constipation,improve the quality of life,and get good physical fitness. |