六安市慢性便秘流行病学调查  

A community population-based epidemiologic investigation of chronic constipation in Lu′an city

作　　者：唐伟[1] 王巧民[1] 李明忠[2] 陈久红[2] 张旭[2] 

机构地区：[1]安徽医科大学附属安徽省立医院消化内科,安徽合肥230001 [2]安徽省六安市中医院消化内科,安徽六安237006

出　　处：《安徽医药》2008年第5期426-429,共4页Anhui Medical and Pharmaceutical Journal

摘　　要：目的对安徽省六安市社区人群进行慢性便秘的流行病学调查，以了解六安市慢性便秘的患病情况，并分析慢性便秘的可能原因。方法运用分层整群随机抽样调查、多因素Logistic回归分析、对比研究等研究方法对六安市社区18岁以上小区居民进行问卷调查。结果共3709人接受便秘相关问题调查，男1898人、女1811人。共检出139例符合罗马Ⅲ标准的慢性便秘患者，患病率3．75％。其中男性62人，患病率为3．27％，女性77人，患病率为4．25％。按2000年第5次全国人口普查结果进行年龄、性别标准化后的患病率为3．39％。18～19年龄段便秘患病率较高，达5．95％，60岁以上便秘患病率呈逐渐上升趋势。便秘患者有41．73％符合肠易激综合征。文化程度、婚姻状况、体力劳动、吸烟、饮酒与便秘的发生无显著关系。慢性便秘多因素条件logistic回归分析结果显示有痔疮（OR=4．602）、直系亲属有便秘（OR=13．937）、进食腌咸肉（OR=10．238）是便秘患病的危险因素。定时排便（OR=0．147）、进食粗粮（OR=0．023）、泡菜（OR=0．315）可减少便秘患病的危险。慢性便秘人群SDS、SAS评分明显高于对照人群（P〈0．001）。结论慢性便秘在安徽省六安市的小区居民中是一种常见病。60岁以上便秘患病率呈逐渐上升趋势。便秘患病的危险因素与饮食、遗传因素、心理因素等多方面相关，且对人们的生活质量产生不良影响。Aim An epidemiological investigation of the chronic constipation was made into community crowds of Lu＇an city, Anhui province to investigate prevalence of chronic constipations and analyze possible reasons. Method A questionnaire survey was conducted among community residents aged ≥18 years in Lu＇an City by randomizing clustered sampling under stratification. The data were analyzed by logistic regression. Result A total of 3709 residents （male 1898, female 1811） were investigated. The prevalence of chronic constipation in Lu＇an city is 3.75% according to Rome m criteria. Among them male prevalence is 3.27% ,while female prevalence is 4.25%. The age-and gender-specific standardized constipation rates after gender and age adjustment was 3.39%. The occurrence of constipation tended to increas among residents over 60 years old. Of constipated patients 41.73% match the irritable bowel syndrome. The educational bachground,marital status,manual labor,cigarette use, alcohol use etc weren＇t observably associated with chronic constipation. Logistic regression shows that hemorrhoids （OR=4.602） , constipation developed by the next of kin （OR=13.937） , bacon intake （OR=10.238） are risk factors of the constipation. Regular defecation （OR=0.147） ,coarse food grain （ OR=0.023） , pickle （OR=0.315） can reduce the risk of the constipation. The SDS,SAS grade point of chronic constipation crowd is obviously higher than that of control group （P〈0.001）. Conclusion The chronic constipation is a common disorder in community residents of Lu＇an City. The prevalence of elder people is higher. Foods, heredity and psychological factor etc were associated with risk factors for chronic constipation. The constipation brings about bad influence on people＇s standard of living.

关 键 词：便秘 流行病学 相关因素 

分 类 号：R181.3[医药卫生—流行病学]