Zhou Wei,Li Shoulin,Wen Jianguo,et al.Effects of disposable diaper usage on defecation dysfunction disorders in children aged 3 to 6 years:a retrospective epidemiological study of 5 146 cases.[J].Journal of Clinical Pediatric Surgery,,17():501-505.
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Effects of disposable diaper usage on defecation dysfunction disorders in children aged 3 to 6 years:a retrospective epidemiological study of 5 146 cases.

Journal of Clinical Pediatric Surgery[ISSN:1671-6353/CN:43-1380/R] volume: 第17卷 Number: 2018 07 Page: 501-505 Column: 专题讨论 Date of publication: 2018-07-28
Author(s):
Zhou Wei1; Li Shoulin1; Wen Jianguo2; Wang Hao1; Chen Jinjun1; Liu Xiaodong1; Jiang Junhai1; Wang Xizheng2; Wang Yihe2; Xu Pengchao2; Xing Dong2; Diao Hongwang1; Yao Fei1.
1.Department of Urology,Shenzhen Childrens Hospital,Shenzhen 518038,China;
Keywords:
Defecation Dysfunction Disorders;  Retrospective Studies;  Child
Document code:
A
Abstract:
ObjectiveTo explore the use of disposable diapers (DD) in infants and elucidate the effect on the morbidity of defecation and the development of defecation function in children aged 3~6 years.MethodsThe methods of stratified and random sampling were used to extract a total of 6 030 children aged 3~6 years from 30 kindergartens in 6 districts of Shenzhen,Guangdong Province and Zhengzhou City of Henan Province.A form of anonymous questionnaire was used for examining the effects of age,gender,use of DD,length of use and whether they could complete defecation and start independently.Onset time of defecation dysfunction (constipation,fecal incontinence and rectal prolapse,etc.),incidence of defecation dysfunction of different genders and DD groups were compared by Chi 2 test.And two independent samples were compared with t test between DD and unused DD groups for controlling the age of defecation.ResultsEffective questionnaires were collected in 5 146 cases and using rate of DD was 87.9% (4 522/5 146); for DD and unused DD groups,the age of defecation was 31.13±9.62 and 27.18±8.96 months respectively and two were significantly different (P<0.001); In all,6.54% (337/5 146) children had defecation dysfunction,In group DD,320 people were used and 17 not used in group DD (P<0.001).The incidence of defecation dysfunction was from high to low:constipation (59.64%,201/337),fecal incontinence (27.60%,93/337) and rectal prolapse (12.76%,43/337) respectively. ConclusionDefecation dysfunction is common among preschool children.Longterm use of DD and a lack of postnatal defecation training are risk factors for preschool childrens defecation dysfunction.It should cause social concerns.
Last Update: 2018-07-24