浙江省高校学生功能性消化不良流行病学调查及其与心理因素的关系  

An epidemiological survey of functional dyspepsia and its relationship with psychological factors in collegestudents of Zhejiang Province

作　　者：李蒙[1] 陈鸣艳[1] 吕宾[1] 钮莉[1] 周鸿[1] 

机构地区：[1]浙江中医药大学附属第一医院消化科,杭州310006

出　　处：《中华消化杂志》2012年第7期433-436,共4页Chinese Journal of Digestion

摘　　要：目的了解浙江省高校学生功能性消化不良（FD）患病情况及其与心理因素的关系。方法选取浙江省两所高校学生，采用多级分层随机整群抽样方法，以罗马Ⅲ成人功能性胃肠病诊断调查问卷（ROMEUI-DQ）及心理学症状自评量表（SCL90）对其进行分析调查。统计学处理采用X^2检验和t检验。结果共调查浙江省高校学生1870名，FD患病率为5．78％；女性患病率高于男性（7．53％PL4．14％。X^2=9．884，P〈0．05）；高校四年级学生FD患病率最高，各年级之间差异有统计学意义（X^2=13．83，P〈0．05）。FD亚型中餐后不适综合征明显多于上腹痛综合征；FD患者与其他功能性胃肠病重叠以功能性排便障碍和功能性便秘最多。SCL-90调查中FD组各项因子评分均高于健康对照组。结论FD在浙江省高校学生中有较高的患病率，心理因素与其发病有相关性。Objective To investigate the prevalence of functional dyspepsia （FD） and itsrelationship with psychological factors in college students of Zhejiang Province. Methods lhe students of two colleges in Zhejiang Province were selected. The multi stage stratified random cluster sampling method was conducted. The Rome Ⅲaduh FI） diagnosis questionnaire （ROME Ⅲ-DQ） and psychological symptoms self rating scale questionnaire （SCL-90） was applied in the investigation. The data were analyzed by X^2 test and t test. Results A total of 1870 college students of Zhejiang Provincewere surveyed. The prevalence of FD was 5. 780/oo. The prevalence in female was higher than that in male （7.53% vs 4.14%, X^2=9. 884, P〈0.05）. The prevalence in senior students was highest in all grade （X^2=13. 83, P〈0.05）. In FD subtypes, postprandial distress syndrome was more than epigastric pain syndrome. The functional constipation and functional defecation disorders were most common in the overlap with other functional gastrointestinal disorders. In SCL-90 questionnaire survey, the scores of each factor of FD group were higher than those of the healthy control group. Conclusions The prevalence of FD was high in the college students of Zhejiang Province. The incldenee was correlated with psychological factors.

关 键 词：消化不良 参考标准 流行病学 心理学 医学 

分 类 号：R57[医药卫生—消化系统]