CAJ | 학술논문

目的了解上海市松江地区常住成年社区居民功能性便秘(FC)患病率及危险因素.方法采用多级、分层、整群随机抽样法,于2010年4-5月以户为单位对松江区的社区居民进行面访式问卷调查.FC诊断采用罗马Ⅲ标准,用焦虑自评量表(SAS)、抑郁自评量表(SDS)及阿森斯失眠量表(AIS)对精神心理及睡眠质量进行评估.结果调查回收合格问卷7648份,有效率90.0％.共检出FC患者211例,其中男性90例,女性121例.经标化后合计检出率为2.9％,其中男性为2.5％,女性为3.3％.男女检出率比为1∶1.32,差异有统计学意义(P=0.043).18 ～ 29岁组的检出率最高(x2=37.359,P=0.000).FC在正常体重组(x2=16.087,P=0.002)、高等教育组(x2=27.604,P=0.000)、脑力劳动组(x2=6.922,P=0.031)及离婚组(x2=22.000,P=0.000)的患病率高于其他各组.多因素分析显示,喜好高脂肪食物则FC患病风险是对照组的1.253倍(P=0.000),而纤维素饮食具有保护作用(OR=0.854,P=0.029).焦虑(OR=2.583,P=0.000)及失眠(OR=2.443,P=0.000)是FC患病的危险因素.结论松江社区FC的患病率并不高于国内其他地区.高脂肪食物、焦虑及失眠可能是FC患病的危险因素,纤维素饮食则是保护性因素.
목적 료해상해시송강지구상주성년사구거민공능성편비(FC)환병솔급위험인소.방법 채용다급、분층、정군수궤추양법,우2010년4-5월이호위단위대송강구적사구거민진행면방식문권조사.FC진단채용라마Ⅲ표준,용초필자평량표(SAS)、억욱자평량표(SDS)급아삼사실면량표(AIS)대정신심리급수면질량진행평고.결과 조사회수합격문권7648빈,유효솔90.0％.공검출FC환자211례,기중남성90례,녀성121례.경표화후합계검출솔위2.9％,기중남성위2.5％,녀성위3.3％.남녀검출솔비위1∶1.32,차이유통계학의의(P=0.043).18 ～ 29세조적검출솔최고(x2=37.359,P=0.000).FC재정상체중조(x2=16.087,P=0.002)、고등교육조(x2=27.604,P=0.000)、뇌력노동조(x2=6.922,P=0.031)급리혼조(x2=22.000,P=0.000)적환병솔고우기타각조.다인소분석현시,희호고지방식물칙FC환병풍험시대조조적1.253배(P=0.000),이섬유소음식구유보호작용(OR=0.854,P=0.029).초필(OR=2.583,P=0.000)급실면(OR=2.443,P=0.000)시FC환병적위험인소.결론 송강사구FC적환병솔병불고우국내기타지구.고지방식물、초필급실면가능시FC환병적위험인소,섬유소음식칙시보호성인소.
Objective To determine the prevalence and risk factors of functional constipation (FC) by using Rome Ⅲ criteria in the local adult communities.Methods A stratified randomized and community-based study by multi-stage cluster sampling was employed.A household survey was conducted from April to May 2010.All of the participants were interviewed face-to-face by filling out the self-administered questionnaires which based on Rome Ⅲ criteria for the diagnosis of FC.Self-rating anxiety scale (SAS),self-rating depression scale (SDS) and Athens insomnia scale (AIS) were carried out to evaluate the psychological characteristics and qualities of sleep.Results A total of 7648 subjects fulfilled the questionnaires,with the response rate as 90.0％.211 patients met the Rome Ⅲ criteria,including 90 males and 121 females.The adjusted prevalence rates of FC were 2.5％ in males,3.3％ in females and with an overall rate as 2.9％.The ratio of men to women was 1∶1.32,with significant difference between males and females (P=0.043).The most common group was in the 18-29 year-olds (x2=37.359,P=0.000).FC patients were more likely to be detected in the group with normal BMI (x2=16.087,P=0.002),having received high education (x2=27.604,P=0.000),being intelectuals ( x2=6.922,P=0.031 ) and divorced ( x2=22.000,P=0.000) than in other groups. Multivariate analysis showed that excessive intake of high-fat food was significantly associated with the presence of FC (odds ratio as 1.253,P=0.000),whereas foods with high-fiber (odds ratio as 0.854,P=0.029) might serve as protective factors.Significant differences between FC groups and control groups were found in the incidence of anxiety (with odds ratio as 2.583,P=0.000) and insomnia (odds ratio as 2.443,P=0.000).Conclusion The prevalence of FC in adult communities in Shanghai Songjiang district was not higher than that in other parts of the communities.Excessive intake of high-fat food,anxiety and insomnia might be risk factors for FC and foods with high-fiber contents might serve as protective factors.