肠易激综合征患者症状发作与饮食关系的调查  

A Survey on Relationship between Onset of Symptoms and Food Intake in Patients with Irritable Bowel Syndrome

作　　者：王维达[1] 方秀才[1] 朱丽明[1] 费贵军[1] 吴东[1] 王智凤[1] 柯美云[1] 

机构地区：[1]中国医学科学院、北京协和医学院、北京协和医院消化内科,100730

出　　处：《胃肠病学》2012年第2期110-114,共5页Chinese Journal of Gastroenterology

摘　　要：背景:流行病学调查示肠易激综合征(IBS)患者症状发作与饮食相关。目的:调查诱发或加重IBS症状的饮食因素,了解饮食因素在IBS发病中的作用,以探讨IBS患者自行饮食调整的策略。方法:采用问卷方式调查IBS患者症状发作与饮食的关系以及症状发作时的应对策略。结果:共纳入58例IBS患者,其中腹泻型IBS(IBS-D)占84.5%。每例患者有(5.50±3.37)个食物诱因,最常见的10种诱发和(或)加重IBS症状的食物为冷食(66.7%)、辛辣饮食(61.1%)、生食(53.7%)、油腻饮食(53.7%)、奶制品(不包括酸奶)(37.0%)、水果(33.3%)、酒(29.6%)、葱或韭菜(24.1%)、肉类(22.2%)和酸奶(16.7%)。IBS患者缓解症状最常用的手段为选择性食物剔除(55.2%),其中最常被剔除的食物/饮食习惯是辛辣饮食(79.5%),其次是冷食(77.3%)、生食(65.9%)、油腻饮食(56.8%)、肉类(31.8%)和奶制品(27.3%)。结论:IBS症状的发作和缓解与饮食密切相关,了解IBS患者症状发作与饮食的关系,对制定IBS患者的饮食调整策略,有效防治IBS具有重要意义。Background： Epidemiological studies suggested that the onset of symptoms in patients with irritable bowel syndrome（IBS） was related with food intake.Aims： To investigate the dietary factors for induction and exacerbation of symptoms in patients with IBS,and to identify effective strategies for symptom self-management.Methods： IBS symptoms onset and its relationship with dietary factors,as well as the adaptive strategies for relieving symptoms were identified by questionnaire.Results： A total of 58 patients were enrolled,of which 84.5% were IBS with diarrhea（IBS-D）.The number of dietary trigger was 5.50±3.37 for each patient,and the top 10 incentives were cold food（66.7%）,spicy food（61.1%）,raw food（53.7%）,greasy food（53.7%）,dairy products（excluding yogurt）（37.0%）,fruits（33.3%）,alcohol（29.6%）,leeks（24.1%）,meat（22.2%） and yogurt（16.7%）.Selective diet exclusion was transacted in 55.2% of the IBS patients for relieving symptoms,most patients weeded out spicy food（79.5%）,followed by cold food（77.3%）,raw food（65.9%）,greasy food（56.8%）,meat（31.8%） and dairy products（27.3%）.Conclusions： The onset and relieving of symptoms in IBS patients are closely related with dietary factors.Investigation on the relationship between onset of symptoms and food intake may be beneficial for dietary adjustment of IBS patients,and may also be of great value in the prevention and treatment of IBS.

关 键 词：肠易激综合征 食物 生活方式 流行病学 

分 类 号：R574[医药卫生—消化系统]