CAJ | 학술논문

目的了解浙江省高校学生功能性消化不良(FD)患病情况及其与心理因素的关系.方法选取浙江省两所高校学生,采用多级分层随机整群抽样方法,以罗马Ⅲ成人功能性胃肠病诊断调查问卷(ROMEⅢ-DQ)及心理学症状自评量表(SCL-90)对其进行分析调查.统计学处理采用x2检验和t检验.结果共调查浙江省高校学生1870名,FD患病率为5.78％；女性患病率高于男性(7.53％比4.14％,x2=9.884,P＜0.05)；高校四年级学生FD患病率最高,各年级之间差异有统计学意义(x2=13.83,P＜0.05).FD亚型中餐后不适综合征明显多于上腹痛综合征；FD患者与其他功能性胃肠病重叠以功能性排便障碍和功能性便秘最多.SCL-90调查中FD组各项因子评分均高于健康对照组.结论 FD在浙江省高校学生中有较高的患病率,心理因素与其发病有相关性.
목적 료해절강성고교학생공능성소화불량(FD)환병정황급기여심리인소적관계.방법 선취절강성량소고교학생,채용다급분층수궤정군추양방법,이라마Ⅲ성인공능성위장병진단조사문권(ROMEⅢ-DQ)급심이학증상자평량표(SCL-90)대기진행분석조사.통계학처리채용x2검험화t검험.결과 공조사절강성고교학생1870명,FD환병솔위5.78％；녀성환병솔고우남성(7.53％비4.14％,x2=9.884,P＜0.05)；고교사년급학생FD환병솔최고,각년급지간차이유통계학의의(x2=13.83,P＜0.05).FD아형중찬후불괄종합정명현다우상복통종합정；FD환자여기타공능성위장병중첩이공능성배편장애화공능성편비최다.SCL-90조사중FD조각항인자평분균고우건강대조조.결론 FD재절강성고교학생중유교고적환병솔,심리인소여기발병유상관성.
Objective To investigate the prevalence of functional dyspepsia (FD) and its relationship with psychological factors in college students of Zhejiang Province. Methods The students of two colleges in Zhejiang Province were selected.The multi-stage stratified random cluster sampling method was conducted.The Rome Ⅲ adult FD diagnosis questionnaire (ROME Ⅲ-DQ) and psychological symptoms self rating scale questionnaire (SCL-90) was applied in the investigation.The data were analyzed by x2 test and t test.Results A total of 1870 college students of Zhejiang Province were surveyed.The prevalence of FD was 5.78％.The prevalence in female was higher than that in male (7.53 ％ vs 4.14 ％,x2 =9.884,P＜0.05).The prevalence in senior students was highest in all grade (x2 =13.83,P＜0.05).In FD subtypes,postprandial distress syndrome was more than epigastric pain syndrome.The functional constipation and functional defecation disorders were most common in the overlap with other functional gastrointestinal disorders. In SCL-90 questionnaire survey,the scores of each factor of FD group were higher than those of the healthy control group.Conclusions The prevalence of FD was high in the college students of Zhejiang Province. The incidence was correlated with psychological factors.