中华消化杂志
中華消化雜誌
중화소화잡지
Chinese Journal of Digestion
2010年
8期
525-528
,共4页
沈峰%陈光榆%周惠清%张敏红%桑玉尔%陈莉莉%李定国
瀋峰%陳光榆%週惠清%張敏紅%桑玉爾%陳莉莉%李定國
침봉%진광유%주혜청%장민홍%상옥이%진리리%리정국
肠易激综合征%睡眠障碍%女性
腸易激綜閤徵%睡眠障礙%女性
장역격종합정%수면장애%녀성
Irritable bowel syndrome%Sleep Disorders%Female
目的 探讨上海市社区人群睡眠质量与肠易激综合征(IBS)患病率及两者之间的关系.方法 采用随机分层整群抽样方法,对上海市嘉定区江桥镇常住人群成年居民进行面访式问卷调查,回收有效调查问卷11 569份.采用罗马Ⅲ标准诊断IBS,阿森斯睡眠障碍量表进行自我评估,分析睡眠障碍与IBS之间的关系.结果 睡眠障碍在社区总人群、IBS患者及非IBS患者中发生率分别为21.00%、33.02%和18.74%.IBS组存在睡眠障碍比例高于非IBS组,两组间差异有统计学意义(P=0.004,OR=2.14,95%CI:1.92～2.39),即存在睡眠障碍的人群患IBS的危险性是无睡眠障碍人群的2.14倍.在IBS组,女性患者存在睡眠障碍的比例(37.24%)显著高于男性患者(28.41%),两组间差异有统计学意义(P=0.000,OR=1.50,95%CI:1.23～1.82),提示存在睡眠障碍的女性更易于患IBS.Logistic回归分析显示睡眠障碍是IBS的危险因素之一(OR=2.11,95%CI:1.89～2.36).结论 IBS患者常存在睡眠障碍,尤其是女性患者.
目的 探討上海市社區人群睡眠質量與腸易激綜閤徵(IBS)患病率及兩者之間的關繫.方法 採用隨機分層整群抽樣方法,對上海市嘉定區江橋鎮常住人群成年居民進行麵訪式問捲調查,迴收有效調查問捲11 569份.採用囉馬Ⅲ標準診斷IBS,阿森斯睡眠障礙量錶進行自我評估,分析睡眠障礙與IBS之間的關繫.結果 睡眠障礙在社區總人群、IBS患者及非IBS患者中髮生率分彆為21.00%、33.02%和18.74%.IBS組存在睡眠障礙比例高于非IBS組,兩組間差異有統計學意義(P=0.004,OR=2.14,95%CI:1.92～2.39),即存在睡眠障礙的人群患IBS的危險性是無睡眠障礙人群的2.14倍.在IBS組,女性患者存在睡眠障礙的比例(37.24%)顯著高于男性患者(28.41%),兩組間差異有統計學意義(P=0.000,OR=1.50,95%CI:1.23～1.82),提示存在睡眠障礙的女性更易于患IBS.Logistic迴歸分析顯示睡眠障礙是IBS的危險因素之一(OR=2.11,95%CI:1.89～2.36).結論 IBS患者常存在睡眠障礙,尤其是女性患者.
목적 탐토상해시사구인군수면질량여장역격종합정(IBS)환병솔급량자지간적관계.방법 채용수궤분층정군추양방법,대상해시가정구강교진상주인군성년거민진행면방식문권조사,회수유효조사문권11 569빈.채용라마Ⅲ표준진단IBS,아삼사수면장애량표진행자아평고,분석수면장애여IBS지간적관계.결과 수면장애재사구총인군、IBS환자급비IBS환자중발생솔분별위21.00%、33.02%화18.74%.IBS조존재수면장애비례고우비IBS조,량조간차이유통계학의의(P=0.004,OR=2.14,95%CI:1.92～2.39),즉존재수면장애적인군환IBS적위험성시무수면장애인군적2.14배.재IBS조,녀성환자존재수면장애적비례(37.24%)현저고우남성환자(28.41%),량조간차이유통계학의의(P=0.000,OR=1.50,95%CI:1.23～1.82),제시존재수면장애적녀성경역우환IBS.Logistic회귀분석현시수면장애시IBS적위험인소지일(OR=2.11,95%CI:1.89～2.36).결론 IBS환자상존재수면장애,우기시녀성환자.
Objective To investigate the association of sleep quality with prevalence of irritable bowel syndrome (IBS) in communities of Shanghai.Methods A survey on prevalence of IBS in communities of Jiangqiao County,Jiading District of Shanghai was conducted using a stratified,randomized cluster-sampling method.A total of 11 569 questionnaires was collected.The IBS was diagnosed according to Rome Ⅲ criteria,and Athens Insomnia Scale (ALS) was used for selfassessment.The relationship between sleep quality and IBS was analyzed.Results The prevalence of insomnia was 21.00% in community groups,33.02% in IBS patients and 18.74% in non-IBS patients.The incidence of insomnia was significant higher in IBS group than non-IBS group (P =0.004,OR = 2.14,95 % CI:1.92- 2.39).Among IBS patients,the incidence of insomnia was higher in females than in males (37.24% vs 28.41%,P = 0.000).A logistic analysis for psychological contributing factors in IBS revealed that insomnia might be one of the risk factors for IBS (OR= 2.11,95% CI:1.89-2.36).Conclusion IBS patients have poor sleep quality,especially in females.
