南宁市35岁以下青年肠易激综合征患病情况及影响因素  

Prevalence of and risk factors for irritable bowel syndrome among young adults below the age of 35 in Nanning

作　　者：梁惠萍[1] 李致忠[1] 刘春斌[1] 梁谷[1] 郑琴芳[2] 梁列新[2] 

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

出　　处：《世界华人消化杂志》2015年第14期2333-2340,共8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35岁以下青年肠易激综合征(irritable bowel syndrome,IBS)的患病情况及患病的影响因素,为提高本地区IBS的防治水平提供参考.方法:采用依据罗马ⅢIBS诊断标准并结合IBS相关流行病学因素设计的调查问卷对南宁市5个城区1214名35岁以下青年进行面访式调查,了解南宁市青年人群IBS患病率,并对其患病的影响因素进行分析.结果:(1)63例诊断为IBS,南宁市35岁以下青年IBS患病率为5.19%;(2)该人群患病情况在不同城区及职业差异有统计学意义,在校学生IBS的患病率明显高于在职人员(P<0.05),被调查者是否存在喜食生冷食品、辛辣食物、水果、乳制品等饮食因素及受凉、劳累、情绪不佳、精神刺激等其他相关因素的患病率差异有统计学意义(P<0.05),将可能与青年IBS患者发病有关的因素纳入多因素Logistic回归方程,结果提示,喜食生冷食品、水果是影响南宁市青年人群发生IBS的主要因素,其比值比(odds ratio,OR)值分别为2.255及2.076(P<0.05).结论:南宁市35岁以下青年IBS患病率为5.19%.喜食生冷食品、水果是其患病的影响因素.AIM： To investigate the prevalence of and risk factors for irritable bowel syndrome（IBS）among young adults below the age of 35 in Nanning, Guangxi, to provide a reference for the prevention and control of this disease. METHODS： A total of 1214 subjects below the age of 35 from five urban areas of Nanning were interviewed face-to-face by using a questionnaire survey designed according to Roman Ⅲ Diagnosis Standard and relevant epidemiological factors, in order to investigate the prevalence of and risk factors for IBS among young adults in Nanning.RESULTS： A total of 63 cases of IBS were detected in the survey. The prevalence of IBS among young adults below the age of 35 was 5.19%. The prevalence of IBS was significantly different in different urban areas and occupations, and was significantly higher in students than in on-the-job personnel（ 0.05）. Univariate analysis showed that eating cold food, spicy food, fruits, dairy products and other factors such as catching a cold, fatigue, poor mood, and spirit boost in the respondents were significantly associated with IBS（P〈0.05）. Multivariate logistic regression analysis showed that cold food and fruits were independent risk factors for IBS among young adults in Nanning, with the odds ratio（OR） values of 2.255 and 2.076, respectively（P〈0.05）.CONCLUSION： The prevalence of IBS among young adults below the age of 35 years in Nanning is 5.19%. Cold food and fruits are independent factors for this disease.

关 键 词：肠易激综合征 罗马Ⅲ标准 流行病学 影响因素 

分 类 号：R574.4[医药卫生—消化系统]