消化门诊肠易激综合征患者肠外症状分析  

Analysis of parenteral symptoms of irritable bowel syndrome of patients in gastroenterology clinic

作　　者：石大伟[1] 卢艳如[1] 陈玉龙[1] 

机构地区：[1]郑州大学第一附属医院老年病科

出　　处：《医药论坛杂志》2012年第4期48-50,共3页Journal of Medical Forum

摘　　要：目的了解肠易激综合征(IBS)患者临床症状表现,尤其是肠外症状,提高IBS诊断率。方法对2010年12月至2011年7月郑州大学第一附属医院消化内科门诊就诊并按照罗马Ⅲ标准诊断为IBS的患者进行问卷调查。共调查866例,收回问卷847份作为统计病例。结果 IBS是一种复杂的身心疾病,除表现在胃肠功能紊乱,腹痛、腹部不适,排便性状、频率改变外,还表现有咽部不适及异物感,口干、口苦、口臭、无味觉,功能性消化不良,无饥饿感,腰背及肌肉酸、痛、纤维肌痛综合征等全身不明原因的疼痛,手心、脚心灼热等功能性低热,肢体凉、畏寒,失眠、头痛,心烦,慢性疲劳综合征,体重减轻,尿道不适,性交困难等肠外表现等。结论 IBS患者多反复就诊于综合医院的各个科室,部分临床医生对IBS复杂的临床症状尤其是肠道外症状认识少,鉴别困难,使IBS诊断率低,治疗效果差。Objective To make a survey of clinical symptoms of irritable bowel syndrome（IBS） patients,especially parenteral symptoms,deepen the understanding of IBS and improve the diagnosis of IBS.Methods Make a symptom questionnaire for 866 gastroenterology clinic patients,diagnosed IBS based on the Rome Ⅲ criteria,from December 2010 to July 2011.866 patients were surveyed,take back of 847 questionnaires.All cases involved in statistics.Results IBS is a complex psychosomatic illness.In addition to performance in gastrointestinal disorders,abdominal pain,abdominal discomfort,defecate character and frequency change,but also performance in pharyngeal discomfort,and pharynx foreign body sensation,dry mouth,mouth bitter,bad breath,no taste,functional indigestion,no hunger,the back and muscle sore and pain,and fibrous myalgia syndrome the whole body such as the unexplained pain,and palm hot,arch hot etc functional low heat,body cool,chills,headache,upset,insomnia,chronic fatigue syndrome,weight loss,urethral discomfort,the difficulty of sexual intercourse etc parenteral symptoms.Conclusions The symptoms of IBS patients are diverse and complicated.Most of IBS patients see doctors to several clinical departments or a few hospitals repeatedly.And some of clinician know little about the clinical symptoms of IBS,parenteral symptoms less.Identify difficult result in IBS diagnosis rate is low,treatment effect is poor.

关 键 词：肠易激综合征 症状 肠外症状 诊断 

分 类 号：R574[医药卫生—消化系统]