肠易激综合征病人生活质量及其影响因素分析  

QUALITY OF LIFE OF PATIENTS WITH IRRITABLE BOWEL SYNDROME AND ITS INFLUENCING FACTORS

作　　者：许小幸[1] 李定国[2] 蔡全才[1] 周惠清[2] 刘清华[2] 

机构地区：[1]中国人民解放军第二军医大学,上海200433 [2]上海第二医科大学附属新华医院

出　　处：《青岛大学医学院学报》2005年第2期151-153,共3页Acta Academiae Medicinae Qingdao Universitatis

基　　金：上海市卫生局科技发展基金资助项目(No.01468)

摘　　要：①目的了解肠易激综合征(IBS)病人的生活质量及其影响因素.②方法对在消化专科门诊就诊的、符合罗马Ⅱ诊断标准的402例IBS病人建立健康档案,采用中文版SF-36生活质量调查表,进行信访和电话调查相结合的问卷调查.有效调查344人,应答率为85.57%.采用多元线性回归对其生活质量影响因素进行分析.③结果IBS病人的生活质量评分和健康效用值分别为115.1和0.69;男性病人生活质量高于女性(t＝3.10,P＜0.01).IBS病人的生活质量评分和健康效用值与病程、年龄、腹痛积分、腹胀积分、大便积分有关,病程越长、年龄越大、症状积分越高,生活质量评分和健康效用值越低(t＝2.08～14.30,P均＜0.05).④结论门诊IBS病人的生活质量较差,生活质量的高低与病程、年龄、症状严重程度相关.Objective To investigate the health-related quality of life （HRQL） and its influencing factors in patients with irritable bowel syndrome（IBS）. Methods According to diagnostic criteria of Roma Ⅱ, 402 cases of IBS were investigated by letters and telephone calls using the Chinese version of SF-36 questionnaire. Of whom, 344 responded and the SF-36 scores were analyzed with regression models. Results The HRQL in outpatients with IBS was 115.1, with that of the males higher than that of the females （t=3.10,P〈0.01）. The HRQL was related to the course, age and symptom scores. The longer course, older age and higher symptom scores resulted in lower HRQL （t=2.08-14.30,P〈0.05）. Conclusion The outpatients with IBS have poor HRQL, which is related to the course, age and severity of the symptoms.

关 键 词：肠易激综合征 生活质量 肠功能 慢性胃炎 消化系统疾病 

分 类 号：R574[医药卫生—消化系统]