中华内科杂志
中華內科雜誌
중화내과잡지
CHINESE JOURNAL OF INTERNAL MEDICINE
2012年
6期
429-432
,共4页
鉏莉%周鸿%吕宾%李蒙%陈鸣艳
鉏莉%週鴻%呂賓%李矇%陳鳴豔
서리%주홍%려빈%리몽%진명염
流行病学%功能性肠病%罗马Ⅲ标准%心理因素
流行病學%功能性腸病%囉馬Ⅲ標準%心理因素
류행병학%공능성장병%라마Ⅲ표준%심리인소
Epidemiology%Functional bowel disorders%Rome Ⅲ criteria%Psychological factors
目的 研究浙江省医学和理工科大学生功能性肠病(FBD)流行病学特征,探讨FBD与心理因素的关系.方法 应用成人功能性胃肠病罗马Ⅲ诊断性问卷( ROMEⅢ-DQ)对浙江省两所医学和理工科高校大学生进行抽样调查(2010年11月至2011年3月),采用心理学症状自评量表(SCL-90)进行心理因素分析.结果 共纳入合格问卷1870份,按罗马Ⅲ标准诊断为FBD 1033例,患病率55.24％；FBD各亚型患病率为:非特异性FBD 26.58％ (497/1870),功能性便秘16.95％(317/1870),肠易激综合征6.90％ (129/1870),功能性腹胀4.12％ (77/1870),功能性腹泻0.70％(13/1870).不同性别、专业、年级的FBD患病率有差异,女性＞男性[68.33％ (617/903)比43.02％(416/967)],医学生＞理工科生[68.53％( 734/1071)比37.42％( 299/799)],总体上在校大学生FBD患病率随年级增高而增加,医学生尤其明显.44.05％ (455/1033)的FBD重叠其他功能性胃肠病,9.00％ (93/1033)的FBD合并嗳气症,8.23％ (85/1033)合并功能性消化不良.患FBD大学生的SCL-90得分高于健康大学生.结论 FBD在大学生中有较高患病率,女性高于男性,不同专业患病率有差异,并且FBD与心理因素相关.
目的 研究浙江省醫學和理工科大學生功能性腸病(FBD)流行病學特徵,探討FBD與心理因素的關繫.方法 應用成人功能性胃腸病囉馬Ⅲ診斷性問捲( ROMEⅢ-DQ)對浙江省兩所醫學和理工科高校大學生進行抽樣調查(2010年11月至2011年3月),採用心理學癥狀自評量錶(SCL-90)進行心理因素分析.結果 共納入閤格問捲1870份,按囉馬Ⅲ標準診斷為FBD 1033例,患病率55.24％；FBD各亞型患病率為:非特異性FBD 26.58％ (497/1870),功能性便祕16.95％(317/1870),腸易激綜閤徵6.90％ (129/1870),功能性腹脹4.12％ (77/1870),功能性腹瀉0.70％(13/1870).不同性彆、專業、年級的FBD患病率有差異,女性＞男性[68.33％ (617/903)比43.02％(416/967)],醫學生＞理工科生[68.53％( 734/1071)比37.42％( 299/799)],總體上在校大學生FBD患病率隨年級增高而增加,醫學生尤其明顯.44.05％ (455/1033)的FBD重疊其他功能性胃腸病,9.00％ (93/1033)的FBD閤併噯氣癥,8.23％ (85/1033)閤併功能性消化不良.患FBD大學生的SCL-90得分高于健康大學生.結論 FBD在大學生中有較高患病率,女性高于男性,不同專業患病率有差異,併且FBD與心理因素相關.
목적 연구절강성의학화리공과대학생공능성장병(FBD)류행병학특정,탐토FBD여심리인소적관계.방법 응용성인공능성위장병라마Ⅲ진단성문권( ROMEⅢ-DQ)대절강성량소의학화리공과고교대학생진행추양조사(2010년11월지2011년3월),채용심이학증상자평량표(SCL-90)진행심리인소분석.결과 공납입합격문권1870빈,안라마Ⅲ표준진단위FBD 1033례,환병솔55.24％；FBD각아형환병솔위:비특이성FBD 26.58％ (497/1870),공능성편비16.95％(317/1870),장역격종합정6.90％ (129/1870),공능성복창4.12％ (77/1870),공능성복사0.70％(13/1870).불동성별、전업、년급적FBD환병솔유차이,녀성＞남성[68.33％ (617/903)비43.02％(416/967)],의학생＞리공과생[68.53％( 734/1071)비37.42％( 299/799)],총체상재교대학생FBD환병솔수년급증고이증가,의학생우기명현.44.05％ (455/1033)적FBD중첩기타공능성위장병,9.00％ (93/1033)적FBD합병애기증,8.23％ (85/1033)합병공능성소화불량.환FBD대학생적SCL-90득분고우건강대학생.결론 FBD재대학생중유교고환병솔,녀성고우남성,불동전업환병솔유차이,병차FBD여심리인소상관.
Objective To study the epidemiologic features of functional bowel disorders (FBD)among medical students and science and engineering students in Zhejiang province,China,and to explore the relationship between psychological factors and FBD.Methods This study was a survey of random sampling based on the Rome Ⅲ Diagnostic Questionnaire ( Rome Ⅲ -DQ) conducted from November 2010 to March 2011.The survey was carried out among medical students and science and engineering students respectively in two universities in Zhejiang province.Symptom Check List 90 ( SCL-90 ) was used for psychological analysis.Results Among 1870 participants,1033 were diagnosed as FBD based on Rome Ⅲ criteria,with an overall incidence of 55.24％.The majority cases were unspecified functional bowel disorder,with an incidence of 26.58％ (497/1870),others were functional constipation 16.95％(317/1870),irritable bowel syndrome 6.90％ ( 129/1870),functional bloating 4.12％ (77/1870) and functional diarrhea 0.70％ (13/1870).The prevalence varied in different genders,majors and grades.In the multivariate analysis,women had a higher risk of any FBD than men [ 68.33％ (617/903) vs 43.02％(416/967) ] except for functional diarrhea; and medical students had a higher risk of any FBD than science and engineering students [ 68.53％ ( 734/1071 ) vs 37.42％ ( 299/799 ) ].Generally higher grade undergraduates had relatively higher risks than lower grade students,especially in medical students.Among the participants with FBD,44.05％ (455/1033) had other functional gastrointestinal disorders.In those overlapped parts,9.00％ ( 93/1033 ) had belching disorders,and 8.23％ ( 85/1033 ) had functional dyspepsia.Students with FBD got higher scores in SCL-90 than healthy students.Conclusions This study revealed a high rate of FBD among college students in Zhejiang province.The prevalence varied in different majors,and female higher than male.Psychological factors also had close relationships with FBD.
