地震灾区中学生肠易激综合征影响因素的通径分析  

PATH ANALYSIS OF THE FACTORS AFFECTING IRRITABLE BOWEL SYNDROME AMONG MIDDLE-SCHOOL STUDENTS IN EARTHQUAKE-STRICKEN AREAS

作　　者：王睿[1] 郑仕诚[2] 张强[1] 张玥娇[1] 徐昕[1] 付万朝[2] 董晓薇[2] 

机构地区：[1]四川大学华西公共卫生学院,成都610041 [2]成都市龙泉驿区第一人民医院

出　　处：《现代预防医学》2011年第16期3176-3178,3191,共4页Modern Preventive Medicine

摘　　要：[目的]探讨地震灾区中学生肠易激综合征（IBS）的影响因素。[方法]选取四川地震灾区3所中学初、高中学生2594人进行问卷调查,采用Logistic回归分析和通径分析方法。[结果]Logistic回归分析显示焦虑对IBS的影响最大,OR值为1.922,95%CI为1.712~2.157。通径分析表明胃肠道感染对IBS有直接作用,失眠、悲观通过焦虑作用对IBS有间接作用,疲劳、自己受伤或被埋、亲人或同学遇难对IBS既有直接又有间接作用。[结论]初步建立了灾区中学生IBS影响因素的作用路径。对地震灾区IBS的患病学生的诊疗应注意了解有无应激事件和焦虑心理。重视接诊过程中的＂治疗＂作用。[Objective]To explore the factors affecting irritable bowel syndrome（IBS）among middle-school students in earthquake-stricken areas.[Methods]We surveyed 2594 students by using a questionnaire in three middle schools in the disaster areas of Sichuan Province,and analyzed data with Logistic regression and path analysis.[Results]Logistic regression showed that anxiety was the dominant influential factor for IBS,and the pools OR was 1.992 with a confidence interval（1.712-2.157）. Path analysis showed Gastrointestinal infection had direct effect on IBS;Insomnia and pessimism had indirect effect on IBS by way of anxiety;Fatigue,being injured or buried,and relatives or classmates being killed in the earthquake had both direct and indirect effect for them.[Conclusion]The preliminary path model of the factors affecting IBS among middle-school students in earthquake-stricken areas was made. Doctors should pay attention to the IBS students in the disaster areas to determine whether they had something stress and anxiety,and to emphasize the therapeutic effect during diagnosis.

关 键 词：肠易激综合征 中学生 地震 通径分析 

分 类 号：R181.23[医药卫生—流行病学]