老年人便秘流行病学特点的初步分析  

The survey of the current status and distribution of elderly constipation in China

作　　者：于普林[1] 李增金[1] 郑宏[1] 朱汉民 李玺[3] 何钦成[4] 王静思[5] 袁凯瑜[6] 姜中央[1] 段春波[1] 高芳堃[1] 

机构地区：[1]卫生部北京医院北京老年医学研究所,100730 [2]上海华东医院科研处 [3]西安医科大学附属第一医院科研科 [4]中国医科大学科研处 [5]华西医科大学科研处 [6]中山医科大学科研处

出　　处：《中华老年医学杂志》2001年第2期132-134,共3页Chinese Journal of Geriatrics

基　　金：国家"九五"攻关资助!项目 ( 96 90 6 0 5 0 9)

摘　　要：目的　探讨老年人便秘患病现状和分布特点。　方法　采用多级、整群抽样的方法 ,对6个城市 82 5 2名≥ 6 0岁的常住老年人进行横断面流行病学调查。　结果　老年人便秘总患病率为11 5 % ,随着年龄的增长患病率增加 ,6 0～、6 5～、70～、75～、80～和 85 +年龄组的患病率分别为8 7%、9 6 %、11 7%、15 3%、17 2 %、19 5 % (P <0 0 1) ;老年人便秘城市患病率为 10 9% ,农村为12 3% ,农村高于城市 (P <0 0 1) ,且地区差异明显 (P <0 0 1) ,北方地区患病率较高 ,为 17 5 % ;老年人便秘患病率存在职业差别 (P <0 0 1) ,从事家务、行政管理、科教文卫职业者患病率较高 ,分别为15 6 %、13 4%和 12 7% ,工人和商企人员的患病率较低 ,均为 10 1%。多因素Logistic回归分析表明 ,性别、年龄、城乡和地区与便秘患病率密切相关。　结论　随年龄增长老年人便秘的患病率增加 ,北方高于南方 ,女性高于男性 ,除年龄因素外 ,老年人便秘还可能与气候、膳食结构、体力活动量等因素有关。Objective To survey the current status and distribution of constipation in Chinese old population. Methods The 8 252 elderly, aged ≥60 years,in the urban and rural areas of 6 cites were investigated using a cluster random sampling methods. Results The rude prevalence of constipation was 11 5%. The prevaleme increased with ageing 〔8 7%,9 6%,11 7%,15 3%,17 2% and 19 5% respectively in the age groups of 60 ,65 ,70 ,75 ,80 ,85 years old 〕.The rude prevalence was higher in north of China (17 5%) than that in south of China. It was relatively higher in female (9 98%) than that in male (8 39%) and different by house worker (15 6%), managers (13 4%), workers and business (10 1%) and other profession (8 3%, P <0 01).Logistic regression analysis also showed the rude prevalence was related with gender, ageing and area ( P <0 01). Conclusions The rude constipation prevalence of Chinese elderly population increased with ageing. Beside the ageing factor, it was also related with gender, area and profession.

关 键 词：便秘 流行病学 临床特点 老年人 调查 

分 类 号：R592[医药卫生—老年医学]