石家庄地区学龄期儿童慢性浅表性胃炎致病因素及其对营养状况的影响
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河北省医学科学研究课题计划(20200630)


Logistic regression analysis of pathogenic factors of chronic superficial gastritis in school-age children in Shijiazhuang area and its influence on nutritional status
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    摘要:

    目的 探讨学龄期儿童慢性浅表性胃炎的致病因素及其对营养状况的影响。方法 选取石家庄地区2019年9月~2020年9月学龄期儿童慢性浅表性胃炎150例作为胃炎组,另从该地区同期进行体检的健康体检学龄期儿童中随机抽取150例作为对照组。比较两组营养指标、一般资料、卫生习惯、家庭情况、饮食习惯、病史、心理因素,采用多因素Logistic回归分析确定慢性浅表性胃炎的致病因素。结果 胃炎组血红蛋白、白蛋白、血清锌、铁水平均低于对照组,差异有统计学意义(P<0.05)。胃炎组与对照组性别、年龄、经常洗手、专用餐具、啃玩具或手指、口嚼食物喂养、饮用生水、家庭经济状况、喜吃零食、爱吃蔬菜的差异均无统计学意义(P>0.05),监护人学历、家庭成员、爱吃水果、爱吃肉食、Hp感染、家族胃肠道疾病史、家庭不和睦、寄宿、学习困难方面的差异有统计学意义(P<0.05)。多因素Logistic回归分析显示,监护人学历、家庭成员、爱吃水果、Hp感染、家族胃肠道疾病史、家庭不和睦、寄宿、学习困难是慢性浅表性胃炎的影响因素(P<0.05)。结论 慢性浅表性胃炎的发生会影响患儿营养状况,不利于儿童生长发育,应积极预防。学龄期儿童慢性浅表性胃炎的致病因素包括监护人学历、家庭成员、爱吃水果、Hp感染、家族胃肠道疾病史、家庭不和睦、寄宿、学习困难等,可为学龄期儿童慢性浅表性胃炎的预防提供参考。

    Abstract:

    Objective To explore the pathogenic factors of chronic superficial gastritis in school-age children and their influence on nutritional status.Methods A total of 150 school-age children with chronic superficial gastritis admitted to this hospital from September 2019 to September 2020 in the Shijiazhuang area were selected as the gastritis group,and 150 cases of healthy school-age children who underwent physical examinations in the same period were randomly selected as the control group. Compare the two groups of nutritional indicators,general information,hygiene habits,family situation,eating habits,medical history,psychological factors,multivariate logistic regression analysis was used to determine the pathogenic factors of chronic superficial gastritis. Results The hemoglobin,albumin,serum ferritin,serum zinc,and iron level of the gastritis group were lower than those of the control group,and the difference was statistically significant(P<0.05). Gender,age,frequent hand washing,special tableware,chewing toys or fingers,chewing food,drinking raw water,family economic status,snacking preference,eating vegetables,The differences in history were not statistically significant (P>0.05),and there were differences in guardian education,family members,love to eat fruits,love to eat meat,Hp infection,family history of gastrointestinal diseases,family disharmony,boarding,and learning difficulties There is statistical significance (P<0.05). Multivariate logistic regression analysis showed that the guardian′s educational background,family members,love to eat fruits,Hp infection,family history of gastrointestinal disease,family disharmony,boarding,learning difficulties are the influencing factors of chronic superficial gastritis (P<0.05).Conclusion The occurrence of chronic superficial gastritis will affect the nutritional status of children and is not conducive to the growth and development of children,so it should be actively prevented. The pathogenic factors of chronic superficial gastritis in school-age children include guardian education,family members,love to eat fruits,Hp infection,family history of gastrointestinal diseases,family disharmony,boarding,learning difficulties,etc. ,which can provide for the prevention of chronic superficial gastritis in school-age children reference.

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  • 在线发布日期: 2022-05-23
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