ĐẶC ĐIỂM DỊCH TỄ HỌC, LÂM SÀNG, CẬN LÂM SÀNG VÀ KẾT QUẢ ĐIỀU TRỊ BỆNH ĐAU BỤNG MẠN TÍNH TRẺ EM TẠI BỆNH VIỆN TRƯỜNG ĐẠI HỌC Y KHOA VINH NĂM 2021

Abstract

Objective: To describe the epidemiological, clinical, and paraclinical characteristics and results of treatment of chronic abdominal pain in children at Vinh University of Medicine and Pharmacy Hospital in 2021. Methods: A cross-sectional descriptive study, case analysis. Results: Study on 189 pediatric patients with chronic abdominal pain, mainly in children under 10 years old, male/female ratio: 1.38/1. Family history of gastritis - duodenitis is 15.87%, colitis 13.76%; allergic rhinitis 6.35%, urticaria 4.23%. 16.40% of children with abdominal pain woke up at night, 10.05% had unexplained weight loss. Abdominal pain due to functional damage was 31%, 1.06% of abdominal migraine, 65.08% of cases (41/63 children) had endoscopic damage to the stomach. EEG results with 35.71% of children with EEG lesions (5/14). 10.05% of children treated with psychological intervention. Drug treatments include antibiotics, laxatives, antispasmodics, antireflux, antihistamines. The cure rate is 78.84%, 21.16% of children still have recurrent disease. Conclusion: Chronic abdominal pain in children can occur at any age with the common manifestation of abdominal pain in children accompanied by symptoms of digestive disorders such as vomiting, diarrhea, constipation and waking up in the middle of the night,... Treatment with drugs combined with measures such as dietary changes, probiotic supplements. However, psychological interventions have not been applied much.