中国全科医学
中國全科醫學
중국전과의학
Chinese General Practice
2015年
34期
4220-4222
,共3页
胃肠疾病%更年期综合征%相关性分析
胃腸疾病%更年期綜閤徵%相關性分析
위장질병%경년기종합정%상관성분석
Gastrointestinal diseases%Climacteric syndrome%Correlation analysis
目的：探讨功能性胃肠病与围绝经期综合征（ MS）的关系。方法选取2008年1月—2012年12月到宜昌市中心人民医院消化内科就诊的女性功能性胃肠病患者120例。根据改良版更年期症状评分量表（ Kupperman）得分，将患者分为非MS组（n＝41）和MS组（n＝79）。采用问卷调查的方法，收集患者一般资料和消化症状评分。比较两组患者的消化症状，探讨消化症状评分与Kupperman得分的相关性。结果120例患者中，合并MS的患者数为79例（占65.8％）。非MS组和MS组平均年龄、平均病程及婚姻状况比较，差异无统计学意义（ P﹥0.05）。非MS组和MS组平均消化症状评分比较，差异有统计学意义（ P﹤0.05）。两组腹痛、腹胀、便秘、吞咽梗阻感症状发生率比较，差异有统计学意义（P ﹤0.05）；而胃灼热、早饱、恶心、呕吐、腹泻症状发生率比较，差异无统计学意义（P ﹥0.05）。两组消化症状数量比较，差异无统计学意义（ P﹥0.05）。Pearson相关分析显示，消化症状评分与Kupperman得分呈正相关关系（r＝0.34，P﹤0.05）。结论功能性胃肠病与MS存在正相关关系，临床医生在治疗中老年女性功能性胃肠病患者时，应考虑到MS的影响。
目的：探討功能性胃腸病與圍絕經期綜閤徵（ MS）的關繫。方法選取2008年1月—2012年12月到宜昌市中心人民醫院消化內科就診的女性功能性胃腸病患者120例。根據改良版更年期癥狀評分量錶（ Kupperman）得分，將患者分為非MS組（n＝41）和MS組（n＝79）。採用問捲調查的方法，收集患者一般資料和消化癥狀評分。比較兩組患者的消化癥狀，探討消化癥狀評分與Kupperman得分的相關性。結果120例患者中，閤併MS的患者數為79例（佔65.8％）。非MS組和MS組平均年齡、平均病程及婚姻狀況比較，差異無統計學意義（ P﹥0.05）。非MS組和MS組平均消化癥狀評分比較，差異有統計學意義（ P﹤0.05）。兩組腹痛、腹脹、便祕、吞嚥梗阻感癥狀髮生率比較，差異有統計學意義（P ﹤0.05）；而胃灼熱、早飽、噁心、嘔吐、腹瀉癥狀髮生率比較，差異無統計學意義（P ﹥0.05）。兩組消化癥狀數量比較，差異無統計學意義（ P﹥0.05）。Pearson相關分析顯示，消化癥狀評分與Kupperman得分呈正相關關繫（r＝0.34，P﹤0.05）。結論功能性胃腸病與MS存在正相關關繫，臨床醫生在治療中老年女性功能性胃腸病患者時，應攷慮到MS的影響。
목적：탐토공능성위장병여위절경기종합정（ MS）적관계。방법선취2008년1월—2012년12월도의창시중심인민의원소화내과취진적녀성공능성위장병환자120례。근거개량판경년기증상평분량표（ Kupperman）득분，장환자분위비MS조（n＝41）화MS조（n＝79）。채용문권조사적방법，수집환자일반자료화소화증상평분。비교량조환자적소화증상，탐토소화증상평분여Kupperman득분적상관성。결과120례환자중，합병MS적환자수위79례（점65.8％）。비MS조화MS조평균년령、평균병정급혼인상황비교，차이무통계학의의（ P﹥0.05）。비MS조화MS조평균소화증상평분비교，차이유통계학의의（ P﹤0.05）。량조복통、복창、편비、탄인경조감증상발생솔비교，차이유통계학의의（P ﹤0.05）；이위작열、조포、악심、구토、복사증상발생솔비교，차이무통계학의의（P ﹥0.05）。량조소화증상수량비교，차이무통계학의의（ P﹥0.05）。Pearson상관분석현시，소화증상평분여Kupperman득분정정상관관계（r＝0.34，P﹤0.05）。결론공능성위장병여MS존재정상관관계，림상의생재치료중노년녀성공능성위장병환자시，응고필도MS적영향。
Objective To explore relationship between functional gastrointestinal disease( FGD)and menopausal syndrome(MS). Methods From January 2008 to December 2012,120 female FEG patients who received treatment in the department of gastroenterology of Yichang Central People's Hospital were enrolled. According to the scores of revised menopausal symptoms rating scale(Kupperman),the patients were divided into non-MS group(n=41)and MS group(n=79). Using questionnaire survey,we collected the general data and scores of digestive symptoms. Comparison was made between the two groups in the scores of digestive symptoms and Kupperman score. Results Among the 120 patients,the number of patients with MS was 79(65. 8%). The two groups were not significantly different in average age,average length of disease and marital status(P﹥0. 05 for all). The two groups were significantly different in the average score of digestive symptoms(P﹤0. 05). The two groups were significantly different in the numbers of patients with swallowing obstruction, abdominal distension, abdominal pain and constipation ( P ﹤0. 05 for all );while the two groups were not significantly different in the number of patients with heartburn,early satiety,nausea,vomit and diarrhea(P﹥0. 05 for all). The two groups were not significantly different in the number of digestive symptoms ( P ﹥0. 05 ) . Pearson correlation analysis showed that the score of digestive symptoms and Kupperman score were positively correlated with each other(r =0. 34,P ﹤0. 05). Conclusion FGD has positive correlation with MS. Doctors should take the influence of MS into consideration in the treatment of middle aged and elderly female patients with FGD.
