中华消化杂志
中華消化雜誌
중화소화잡지
Chinese Journal of Digestion
2013年
8期
523-527
,共5页
黄智慧%赵岚%储华%马可云%朱力芬%汪丽%戴宁%龙艳芹
黃智慧%趙嵐%儲華%馬可雲%硃力芬%汪麗%戴寧%龍豔芹
황지혜%조람%저화%마가운%주력분%왕려%대저%룡염근
便秘%体质指数%自然分娩%结肠%排便
便祕%體質指數%自然分娩%結腸%排便
편비%체질지수%자연분면%결장%배편
Constipation%Body mass index%Natural childbirth%Colon%Defecation
目的 分析重度功能性便秘(FC)患者的临床特点和影响因素,探讨重度FC患者结肠动力和肛门直肠功能与便秘严重程度的相关性.方法 选择2010年3月至2012年3月符合罗马Ⅲ标准的FC患者,进行问卷调查、胃肠传输试验(GITT)、肛门直肠测压(ARM)和排粪造影检查.计量资料采用t检验或秩和检验,率的比较采用卡方检验.结果 242例FC患者中,男69例,女173例,重度FC患者179例(74.0％).重度FC患者的BMI为(21.52±2.55) kg/m2,高于非重度FC患者的(20.72±2.46) kg/m2,差异有统计学意义(t=2.148,P=0.033).女性重度FC患者自然分娩率为80.2％(89/111),显著高于女性非重度FC患者的63.6％(21/33),差异有统计学意义(x2=3.860,P=0.049).重度与非重度FC患者在GITT、ARM、排粪造影上差异均无统计学意义(P均＞0.05).GITT异常患者每周排便次数为1.0(0.5,2.0),少于GITT正常患者的1.5(0.9,2.9),差异有统计学意义(Z=-2.612,P=0.009).结论 重度FC与BMI、自然分娩相关,肛门直肠功能与便秘严重程度无明确相关性,结肠传输时间与排便次数相关.
目的 分析重度功能性便祕(FC)患者的臨床特點和影響因素,探討重度FC患者結腸動力和肛門直腸功能與便祕嚴重程度的相關性.方法 選擇2010年3月至2012年3月符閤囉馬Ⅲ標準的FC患者,進行問捲調查、胃腸傳輸試驗(GITT)、肛門直腸測壓(ARM)和排糞造影檢查.計量資料採用t檢驗或秩和檢驗,率的比較採用卡方檢驗.結果 242例FC患者中,男69例,女173例,重度FC患者179例(74.0％).重度FC患者的BMI為(21.52±2.55) kg/m2,高于非重度FC患者的(20.72±2.46) kg/m2,差異有統計學意義(t=2.148,P=0.033).女性重度FC患者自然分娩率為80.2％(89/111),顯著高于女性非重度FC患者的63.6％(21/33),差異有統計學意義(x2=3.860,P=0.049).重度與非重度FC患者在GITT、ARM、排糞造影上差異均無統計學意義(P均＞0.05).GITT異常患者每週排便次數為1.0(0.5,2.0),少于GITT正常患者的1.5(0.9,2.9),差異有統計學意義(Z=-2.612,P=0.009).結論 重度FC與BMI、自然分娩相關,肛門直腸功能與便祕嚴重程度無明確相關性,結腸傳輸時間與排便次數相關.
목적 분석중도공능성편비(FC)환자적림상특점화영향인소,탐토중도FC환자결장동력화항문직장공능여편비엄중정도적상관성.방법 선택2010년3월지2012년3월부합라마Ⅲ표준적FC환자,진행문권조사、위장전수시험(GITT)、항문직장측압(ARM)화배분조영검사.계량자료채용t검험혹질화검험,솔적비교채용잡방검험.결과 242례FC환자중,남69례,녀173례,중도FC환자179례(74.0％).중도FC환자적BMI위(21.52±2.55) kg/m2,고우비중도FC환자적(20.72±2.46) kg/m2,차이유통계학의의(t=2.148,P=0.033).녀성중도FC환자자연분면솔위80.2％(89/111),현저고우녀성비중도FC환자적63.6％(21/33),차이유통계학의의(x2=3.860,P=0.049).중도여비중도FC환자재GITT、ARM、배분조영상차이균무통계학의의(P균＞0.05).GITT이상환자매주배편차수위1.0(0.5,2.0),소우GITT정상환자적1.5(0.9,2.9),차이유통계학의의(Z=-2.612,P=0.009).결론 중도FC여BMI、자연분면상관,항문직장공능여편비엄중정도무명학상관성,결장전수시간여배편차수상관.
Objective To analyze the clinical characteristics and related factors of severe functional constipation (FC) and explore the correlation between the severity of FC and colonic motility and anorectal function of patients.Methods From March 2010 to March 2012,patients with FC met Rome Ⅲ criteria were selected.A questionnaire survey was carried out and gastrointestinal transit test (GITT),anorectal manometry (ARM) and defecography were examined.The measurement data were analyzed by t test or rank sum and chi-square test was used for rate compare.Results Among 242 FC patients (male 69,female 173),179 cases (74.0％) were severe FC.The body mass index (BMI) of severe FC patients was (21.52±2.55) kg/m2,which was higher than that of non-severe FC patients ((20.72±2.46) kg/m2) and the difference was statistically significant (t=2.148,P=0.033).The rate of natural delivery in severe FC patients was 80.2％ (89/111),which was higher than that of non-severe FC patients (63.6％,21/33),and the difference was statistically significant (x2 =3.860,P=0.049).There were no significant differences in GITT,ARM and defecography between severe FC patients and non-severe FC patients (all P＞0.05).The weekly frequency of defecation of patients with abnormal GITT was 1.0 (0.5,2.0),which was less than that of patients with normal GITT (1.5(0.9,2.9)),and the difference was significant (Z=-2.612,P=0.009).Conclusions Severe FC is related to BMI and natural delivery.There is no correlation between anorectal function and severity of FC.The defecation frequency is correlated with colonic transit time.
