360例腹泻型肠易激综合征主要证候分布与不同因素关系的研究  

Study on Relationship between the Main Symptoms Distribution and Different Factors of 360 Cases of IBS-D

作　　者：汪红兵[1] 张声生[1] 李振华[2] 唐旭东[2] 王新月[3] 张福文[4] 陈明[1] 陶琳[1] 唐博祥[1] 朱培一[1] 吴兵[1] 李保双[2] 宋秀江[2] 刘敏[3] 查波[3] 

机构地区：[1]首都医科大学附属北京中医医院,北京100010 [2]中国中医科学院西苑医院,北京100091 [3]北京中医药大学东直门医院,北京100700 [4]北京市通州区中医医院,北京101100

出　　处：《中国中医药信息杂志》2010年第3期18-20,共3页Chinese Journal of Information on Traditional Chinese Medicine

基　　金：首都医学科技发展基金(重点支持类;SF-2005-9)

摘　　要：目的研究腹泻型肠易激综合征(IBS-D)流行病学特点以及主要证候与不同因素的关系。方法采用临床流行病学调查方法,收集患者相关资料,以探讨IBS-D的主要证候特点及其与不同因素的关系。结果IBS-D患者年龄集中在30～49岁之间;就诊人群的特殊嗜好依次为饮酒、吸烟、嗜辛辣、嗜咖啡等;情志不畅、精神紧张和饮食不节是其主要诱因;肝郁脾虚证所占比率最高(44.7%),不同年龄段、不同性别、不同职业和不同文化程度的证候分布无明显差异。结论IBS-D患者实际就诊人数低于实际患病人数,精神心理因素是其重要内因,而饮食因素可能是其启动的重要外因;不同因素对证候分布无影响。Objective To study the epidemiological characteristics of diarrhea-predominant irritable bowel syndrome （IBS-D） as well as the relationship between the main syndromes and different factors. Method The relevant information of patients were collected by clinical epidemiological method and the relationship between the main characteristics of the IBS-D syndromes and different factors was explored with the major syndromes as the key link. Result Most of the cases aged 30～49 years old. Special hobbies of patients followed by drinking, smoking, addicting spicy, addicting coffee and so on. Poor emotion, mental stress and diet were the main inducements. Liver stagnation and spleen deficiency has the highest percentage （44.7%）. The distribution of syndromes in different ages, different genders, different occupations and different education had no significant difference. Conclusion The number of IBS-D hospital visiting-patients is lower than the actual number of illness people. Mental factors are important internal factors, and dietary factors may be an important external factor. Different factors have no effect on the distribution of syndromes.

关 键 词：腹泻型肠易激综合征 中医证候 流行病学特点 

分 类 号：R259.744[医药卫生—中西医结合]