| Objective:Through questionnaire survey,the related factors of functional constipation in children in southern Sichuan and TCM constitution were analyzed and summarized,and the relationship between physical fitness and functional constipation and related factors in children in southern Sichuan was further revealed to provide some clinical basis for the prevention and treatment of functional constipation in children.Methods:The children with functional constipation who visited the pediatric clinic of our hospital from March 2022 to December 2022 were selected as the study subjects,and the included children were investigated by questionnaire to truly fill in the "Questionnaire on Clinical Symptoms of Functional Constipation in Children in Southern Sichuan","Questionnaire on Factors Associated with Functional Constipation in Children in Southern Sichuan",and "Questionnaire on TCM Constitution in Children with Functional Constipation in Southern Sichuan",which were classified according to the TCM constitution determination criteria,and the data were collated and completely entered into WPS software to establish the original database.SPSS22.0 statistical software was used for frequency analysis and chi-square test.Results:A total of 139 cases were collected,and the data were completely filled in.1)The age of onset of functional constipation in 139 children was mainly before 6 years of age,with a male to female ratio of 1:1.17,and more than half of the children had a disease duration of more than 6 months.124 had hard stools,84 had abnormal stool volume,77 had prolonged defecation time,61 had prolonged defecation cycle,and straining to defecate and halitosis were the most common accompanying symptoms.Family history was positive in 47 children.In terms of feeding,the feeding mode of 58 infants in infancy was pure breast feeding,40 were artificial feeding,and 41 were mixed feeding,and most of the children added complementary foods at 4 months of age and above,and the interval between complementary food addition was short and diverse.In daily life,55 children had less diet,41 had a high intake of rice and noodles,34 had a high intake of meat,21 preferred fatty,glycerol rich foods,47 had a preference for sweet foods,64 had less drinking water,and 46 had less exercise.Ninety-eight children were ≥ 6 months of age at initial antibiotic use,the age of the first use of antibiotics in 41 children was < 6 months.Psychologically,86 children were emotionally irritable,67 were introverted,and 54 were afraid of defecation.In bowel habits,31 patients had changes in the defecation environment,55 patients had holding behavior,74 patients had distraction during defecation,and squatting was the main mode of defecation.101 children did not perform defecation habit training.In terms of maternal diet during pregnancy,9 children had overeating during pregnancy,9 had low diet,35 children had abnormal dietary structure during pregnancy,12 had more meat,and 23 ate more vegetables and fruits.There were differences in dietary preferences between mothers of different children during pregnancy,34 mothers preferred spicy food during pregnancy and 21 preferred sweets.2)The constitution distribution of children with functional constipation was mainly biased,followed by yin deficiency(29.5%)> damp-heat(15.8%)>qi stagnation(7.9%)> phlegm-dampness(5.1%)> qi deficiency(4.3%)>special endowment(3.6%)> yang deficiency(2.9%),and no blood stasis constitution was found;43 cases were peaceful,accounting for 30.9%.The constitution distribution was correlated with age,feeding mode in infancy,dietary structure,dietary preference,exercise volume,mood,personality,fecal volume,disease duration,maternal dietary habits during pregnancy,and dietary structure(P < 0.05),but not with gender,family history,complementary food addition time,complementary food type,complementary food addition interval,dietary habits,water intake,time to initial use of antibiotics,stool morphology,defecation cycle,defecation time,or maternal dietary preferences during pregnancy(P>0.05).Conclusion:1.Family history,age,feeding mode in infancy,dietary habits,dietary structure,dietary preferences,water intake,exercise,time of initial antibiotic use,mood,personality,defecation fear,defecation habits,and maternal diet during pregnancy are associated risk factors for functional constipation in children.2.The distribution of TCM constitution in children with functional constipation is mainly biased,and the top three are yin deficiency,dampness and heat,and qi stagnation,and the constitution distribution is closely related to age,feeding mode in infancy,dietary structure,dietary preference,exercise volume,emotion,personality,fecal volume,course of disease,maternal dietary habits during pregnancy,and dietary structure. |
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