中华行为医学与脑科学杂志
中華行為醫學與腦科學雜誌
중화행위의학여뇌과학잡지
CHINESE JOURNAL OF BEHAVIORAL MEDICINE AND BRAIN SCIENCE
2013年
3期
208-211
,共4页
雷晓改%贾林%许鸣%王胜炳%江舒曼%刘静%耿庆山
雷曉改%賈林%許鳴%王勝炳%江舒曼%劉靜%耿慶山
뢰효개%가림%허명%왕성병%강서만%류정%경경산
功能性消化不良%难治性%饮食行为
功能性消化不良%難治性%飲食行為
공능성소화불량%난치성%음식행위
Functional dyspepsia%Refractory%Eating behaviors
目的 探讨难治性功能性消化不良患者的饮食行为.方法 采用多中心、前瞻性调查设计.研究对象取自2012年5～9月广东省3家三甲医院消化专科门诊就诊的符合罗马Ⅲ标准的1341例功能性消化不良(functional dyspepsia,FD)患者和100例健康志愿者,通过问卷调查其饮食行为,并进行Logistic回归分析.结果 ①难治性FD约占FD的24.4％.②与健康对照组相比,难治组和非难治组存在较高的饮食行为异常和饮食偏爱；其中难治组在跳餐、加餐、偏爱甜食和产气食物等方面表现最为突出(均P＜0.05).③与非难治性FD相比,难治性FD的EPS(上腹痛综合征)存在偏爱辛辣食物的现象(47.5％,35.7％,P＜0.05),PDS(餐后不适综合征)则偏爱甜食(50.0％,36.4％,P＜0.05)和产气食物(14.9％,7.1％,P＜0.05),而混合型(EPS+ PDS)存在跳餐(30.1％,17.0％,P＜0.05)、加餐(15.0％,6.5％,P＜0.05)的现象.④Logistic回归分析显示跳餐(95％ CI,1.177 ～2.272; P=0.003)、加餐(95％ CI,1.015 ～2.604；P=0.043)、偏爱甜食(95％ CI,1.040～1.757；P=0.024)和产气食物(95％ CI,1.022 ～2.306；P=0.039)是难治性FD的危险因素.结论 难治性FD患者多存在异常饮食行为,其中跳餐、加餐、偏爱甜食和产气食物等是其“难治”的重要原因.
目的 探討難治性功能性消化不良患者的飲食行為.方法 採用多中心、前瞻性調查設計.研究對象取自2012年5～9月廣東省3傢三甲醫院消化專科門診就診的符閤囉馬Ⅲ標準的1341例功能性消化不良(functional dyspepsia,FD)患者和100例健康誌願者,通過問捲調查其飲食行為,併進行Logistic迴歸分析.結果 ①難治性FD約佔FD的24.4％.②與健康對照組相比,難治組和非難治組存在較高的飲食行為異常和飲食偏愛；其中難治組在跳餐、加餐、偏愛甜食和產氣食物等方麵錶現最為突齣(均P＜0.05).③與非難治性FD相比,難治性FD的EPS(上腹痛綜閤徵)存在偏愛辛辣食物的現象(47.5％,35.7％,P＜0.05),PDS(餐後不適綜閤徵)則偏愛甜食(50.0％,36.4％,P＜0.05)和產氣食物(14.9％,7.1％,P＜0.05),而混閤型(EPS+ PDS)存在跳餐(30.1％,17.0％,P＜0.05)、加餐(15.0％,6.5％,P＜0.05)的現象.④Logistic迴歸分析顯示跳餐(95％ CI,1.177 ～2.272; P=0.003)、加餐(95％ CI,1.015 ～2.604；P=0.043)、偏愛甜食(95％ CI,1.040～1.757；P=0.024)和產氣食物(95％ CI,1.022 ～2.306；P=0.039)是難治性FD的危險因素.結論 難治性FD患者多存在異常飲食行為,其中跳餐、加餐、偏愛甜食和產氣食物等是其“難治”的重要原因.
목적 탐토난치성공능성소화불량환자적음식행위.방법 채용다중심、전첨성조사설계.연구대상취자2012년5～9월광동성3가삼갑의원소화전과문진취진적부합라마Ⅲ표준적1341례공능성소화불량(functional dyspepsia,FD)환자화100례건강지원자,통과문권조사기음식행위,병진행Logistic회귀분석.결과 ①난치성FD약점FD적24.4％.②여건강대조조상비,난치조화비난치조존재교고적음식행위이상화음식편애；기중난치조재도찬、가찬、편애첨식화산기식물등방면표현최위돌출(균P＜0.05).③여비난치성FD상비,난치성FD적EPS(상복통종합정)존재편애신랄식물적현상(47.5％,35.7％,P＜0.05),PDS(찬후불괄종합정)칙편애첨식(50.0％,36.4％,P＜0.05)화산기식물(14.9％,7.1％,P＜0.05),이혼합형(EPS+ PDS)존재도찬(30.1％,17.0％,P＜0.05)、가찬(15.0％,6.5％,P＜0.05)적현상.④Logistic회귀분석현시도찬(95％ CI,1.177 ～2.272; P=0.003)、가찬(95％ CI,1.015 ～2.604；P=0.043)、편애첨식(95％ CI,1.040～1.757；P=0.024)화산기식물(95％ CI,1.022 ～2.306；P=0.039)시난치성FD적위험인소.결론 난치성FD환자다존재이상음식행위,기중도찬、가찬、편애첨식화산기식물등시기“난치”적중요원인.
Objective To explore the eating behaviors associated with refractory functional dyspepsia (RFD).Methods In this multicenter,prospective trial,1341 new outpatients with functional dyspepsia (FD) from three Guangdong hospitals who had been diagnosed according to the Rome Ⅲ criteria were enrolled from May to September in 2012.One hundred healthy volunteers were also enrolled as controls.A questionnaire was used to obtain data,and logistic regression analysis was used for analysis.Results ①RFD was diagnosed in 24.4％ of the FD patients.②Unhealthy eating behaviors were significantly greater in patients with RFD and non-RFD than in the normal controls.Patients with RFD skipped meals more often,ate extra meals,and preferred sweets and gasproducing foods (P ＜ 0.05).③A comparison among the non-RFD subtypes,showed that those with epigastric pain syndrome had a greater preference for spicy foods (47.5 ％ vs 35.7 ％,P ＜ 0.05),and those with postprandial distress syndrome had a greater preference for sweets(50.0％ vs 36.4％,P ＜ 0.05) and gas-producing foods (14.9％ vs 7.1％,P＜0.05).Those with both subtypes skipped more meals (30.1％ vs 17.0％,P ＜ 0.05),and ate extra meals (15.0％ vs 6.5％,P＜0.05).④Logistic regression analysis showed that meal skipping(95％ CI,1.177 ～2.272; P=0.003),eating extra meals (95％ CI,1.015 ～2.604; P =0.043),and a preference for sweets (95 ％ CI,1.040 ～ 1.757 ; P =0.024) and gas-producing foods (95 ％ CI,1.022 ～ 2.306 ; P =0.039) were risk factors for RFD.Conclusion Unhealthy eating behaviors,especially,meal skipping,eating extra meals,preferring sweets and gas-producing foods correlate with RFD and these behaviors may be the key reasons for the refractory characteristic of RFD.
