中国实用儿科杂志

中国实用儿科杂志 ›› 2026, Vol. 41 ›› Issue (4): 291-295.DOI: 10.19538/j.ek2026040605

• 专题笔谈 • 上一篇    下一篇

儿童慢性腹痛的诊治策略

  

  1. 1.郑州大学附属儿童医院消化内科，河南   郑州  450018；2.首都医科大学附属北京儿童医院消化科，北京  100045
  • 出版日期:2026-04-06 发布日期:2026-05-12
  • 通讯作者: 吴捷，电子信箱：wujie@bch.com.cn

Diagnostic and therapeutic strategy for pediatric chronic abdominal pain

  1. *Department of Gastroenterology，Children’s Hospital Affiliated to Zhengzhou University，Henan Children’s Hospital Zhengzhou Children’s Hospital，Zhengzhou  450018，China
  • Online:2026-04-06 Published:2026-05-12

摘要： 儿童慢性腹痛病因复杂，常影响患儿及其家庭生活。详细的病史采集及体格检查尤为重要，同时要注意社会心理因素，避免过度检查。尽管大多数儿童慢性腹痛为功能性，及时关注各类报警症状是防止误诊的关键。功能性腹痛治疗目的是改善症状、提高患儿生活质量，需要综合治疗、长期管理。重视患儿的心理教育，提高家长对疾病的认知，可有效改善预后。

关键词:

text-align:left, text-indent:-0.1pt, "> 慢性腹痛, 肠易激综合征, 功能性消化不良, 儿童

Abstract: Chronic abdominal pains（CAP）often affect children and their families’daily life. Due to its complicated etiology，detailed history-collecting and physical examination are of great significance. Meanwhile，social and psychological factors should be taken into account in case of excessive examinations. Although most pediatric CAP are functional，keeping various alarm symptoms in mind is key to preventing misdiagnosis. Pursuing relief of symptoms and better quality of life is the therapeutic goal，which needs comprehensive treatment and long-term management. Focusing on children’s mental health education and enhancing parents’understanding of the disease can effectively improve prognosis. 

Key words: chronic abdominal pain, irritable bowel syndrome, functional dyspepsia, children