广西南宁市社区居民肠易激综合征流行病学现状  

Prevalence of and risk factors for irritable bowel syndrome in community residents in Nanning

作　　者：刘春斌[1] 梁谷[1] 郑琴芳[2] 梁惠萍[1] 梁列新[2] 李致忠[1] 蒋莉萍[1] 谢晓铿[1] 蔡篮[1] 熊章龙 龙淑珍[1] 薛丽平[1] 

机构地区：[1]广西卫生职业技术学院,广西壮族自治区南宁市530021 [2]广西壮族自治区人民医院,广西壮族自治区南宁市530021

出　　处：《世界华人消化杂志》2014年第34期5365-5370,共6页World Chinese Journal of Digestology

基　　金：广西自然科学基金资助项目;No.2011GXNSFA018254~~

摘　　要：目的:调查广西南宁市社区居民肠易激综合征(irritable bowel syndrome,IBS)的患病率及其影响因素,以进一步提高本地区IBS的防治水平.方法:以广西南宁市社区居民为调查对象,采用罗马Ⅲ分类及诊断标准设计调查问卷,随机、整群,分层抽样方法进行面访式调查,分析人群IBS患病率及其影响因素.结果:(1)发放问卷2900份,回收有效问卷2773份,有效率达95.62%.其中181例诊断为IBS,南宁市社区居民IBS总体患病率为6.53%;(2)不同性别IBS的患病率不同,女性的IBS患病率比值比(OR)为1.419,明显高于男性;(3)多因素Logistic回归分析结果:IBS的患病与喜食腌制海产品、生冷食物、水果、乳制品及经常情绪不佳有关(P<0.05).结论:广西南宁市社区居民IBS总体患病率为6.53%,患病的影响因素主要有性别、喜食腌制海产品、生冷食物、水果、乳制品及经常情绪不佳等.AIM： To conduct an epidemiological survey of the prevalence of and risk factors for irritable bowel syndrome（IBS） in community residents in Nanning, Guangxi Zhuang Autonomous Region. METHODS： Cluster random sampling was used to collect samples from community residents in Nanning, and data were collected by face-to-face interview according to the Rome III diagnostic questionnaire. IBS was diagnosed according to the Scoring Algorithm for Rome III diagnostic questionnaire for adults. The prevalence of IBS was computed and the risk factors for IBS were analyzed. RESULTS： A total of 2900 questionnaires were issued and 2773 were returned, with a response rate of 95.62%. The prevalence of IBS among the community residents in Nanning was 6.53%. The prevalence of IBS differed by gender, with a higher prevalence in females than in males（OR = 1.419）. Marinated seafood, cold food, fruits, dairy products, and bad mood were found to be correlated with IBS by multiple logistic regression analysis（P 〈 0.05）. CONCLUSION： The prevalence of IBS among the community residents in Nanning is 6.53%. The factors that affect this disease mainly include gender, marinated seafood, cold food, fruits, dairy products, and bad mood.

关 键 词：肠易激综合征 流行病学 罗马Ⅲ标准 危险因素 

分 类 号：R574.62[医药卫生—消化系统]