摘要
目的调查肠易激综合征（irritablebowelsyndrome，IBS）患者腹部症状、排便症状、大便性状的特点及分型。方法收集2010年1月～2013年1月海军总医院消化内科诊断明确的IBS患者，并指导患者填写自行设计的调查问卷及Bristol粪便分型问卷，对患者的一般情况、腹部症状、排便症状、大便性状及分型进行统计分析。结果共调查IBS患者3242例，男女比例1：1．58；41～50岁年龄段患病率最高（29．73％）。腹痛、腹部不适比率分别为89．02％、86．92％，75．94％的患者有腹痛并腹部不适症状。92．20％的患者大便性状异常，其中排软片便或糊状便、干球样便者比率较高（51．33％、40．72％）。腹泻型IBS比率最高（40．83％）。结论IBS在41～50岁女性人群中高发，腹痛、腹部不适为常见症状，排便性状异常患者较多，最常见亚型为腹泻型。
Objective To investigate the abdominal symptom, defecation symptoms, stool characteristics and subtypes of patients with irritable bowel syndrome （IBS）. Methods Patients diagnosed as having IBS during January 2010 and January 2013 in gastroenterology department were selected, and the patients were guided to fill in self-designed questionnaires and Bristol stool types questionnaires. General situations, abdominal symptoms, defecation symptoms, stool characteristics and subtypes of patients with IBS were statistically analyzed. Results A total of 3242 patients with IBS were involved in this study, and the ratio of male and female was 1 ： 1.58; the 41-50 age group had the highest prevalence rate （29.73%）. The percentages of abdominal pain, abdominal discomfort and abdominal pain combined with abdominal discomfort were 89.02% , 86.92% and 75.94%. Abnormal stool was observed in 92.20% of IBS pa- tients,in which the higher percentages were film or paste （51.33%） and dry-bulb-like stools （40.72%）. The highest ratio of IBS was diarrhea type （40.83%）. Conclusion The 41-50 female age group has a higher prevalence. Common symptoms are abdominal pain and abdominal discomfort, and most of the patients with IBS have abnormal stools, and the most common subtype is diarrhea type.
出处
《解放军医药杂志》
CAS
2014年第2期1-2,6,共3页
Medical & Pharmaceutical Journal of Chinese People’s Liberation Army
基金
军队后勤科研计划课题(BHJ09JD12)
关键词
肠易激综合征
亚型
症状和体征
流行病学
Irritable bowel syndrome
Subtype
Symptom and sign
Epidemiology
