北京某高校学生肠易激综合征患病情况及相关因素调查  

A school-based study of irritable bowel syndrome in college students in Beijing:prevalence and some relative factors

作　　者：李海龙[1,2] 刘亮[3] 任维[1,2] 李彦敏[1,2] 刘祎妮[1,2] 张艳丽[2] 姚树坤[1,2] 

机构地区：[1]北京大学中日友好临床医学院,北京100029 [2]中日友好医院消化内科 [3]山东大学附属济南市中心医院消化内科

出　　处：《胃肠病学和肝病学杂志》2016年第4期448-451,共4页Chinese Journal of Gastroenterology and Hepatology

基　　金：国家科技部十二五支撑计划项目(2014BAI08B02)

摘　　要：目的调查北京某高校学生群体肠易激综合征(irritable bowel syndrome,IBS)患病情况及相关因素。方法采用横断面调查的形式进行。北京大学707名学生最终完成了封闭式自填问卷的调查。结果学生中IBS的患病率为16.7%,混合型(mixed IBS,IBS-M)比例最高,占48.5%(54/118),其次是腹泻型(diarrhea predominate IBS,IBS-D)占33.9%(40/118)。轻中度IBS占94.1%(111/118)、重度IBS占5.9%(7/118)。女性中IBS的患病率显著高于男性(20.2%,57/282 vs 14.4%,61/425,P=0.041);医学专业和非医学专业学生IBS患病率分别为18.1%、15.3%(P=0.321)。以健康者为对照,IBS患者SCL-90(symptom checklist90)中的躯体化症状、青少年生活事件量表(adolescent self-rating life check list,ASLEC)及考试焦虑量表(test anxiety scale,TAS)得分高,自测健康评定量表(self-rated health measurement scale,SRHMS)得分低(P<0.05)。结论本调查样本中大学生IBS的患病率为16.7%,女性患病率高于男性。学生IBS患者SCL-90躯体化症状总得分、ASLEC及TAS得分均显著高于健康对照组。Objective To investigate the prevalence and some relative factors of irritable bowel syndrome（IBS） in college students in Beijing. Methods A cross-sectional study was carried out in Peking University. All of 707 students completed self-administered questionnaires. Results The prevalence of IBS in students was 16. 7%（ 118 /707）.Among the IBS patients,the subtype of IBS-M（ mixed IBS） had the highest percentage,which was 48. 5%（54 /118）,followed by the IBS-D（ diarrhea predominate IBS）（33. 9%,40 /118）. In the IBS patients,94. 1%（111 /118） had mild-moderately IBS and 5. 9%（7 /118） patients had severe IBS. For gender,the prevalence was higher in women than that in men（20. 2%,57 /282 vs 14. 4%,61 /425,P = 0. 041）. When it came to the specialty,the prevalence was higher in medical students than that in other major students（18. 1% vs 15. 3%）,but there was no statistical difference（P = 0. 321）. Compared with healthy controls,the total scores of symptom checklist 90（SCL-90）（somatization part）,adolescent self-rating life check list（ ASLEC） and test anxiety scale（ TAS） were higher in IBS patients（ P〈0 05）. In IBS patients,the self-rated health measurement scale（ SRHMS） was significantly lower than that in healthy controls（P〈0 05）. Conclusion The prevalence of IBS in students is 16. 7%. For gender,the prevalence in women is significantly higher than that in men. The total scores of SCL-90（ somatization part）,ASLEC and TAS in IBS students are obviously higher than those in healthy controls.

关 键 词：肠易激综合征 患病率 躯体化症状 考试焦虑 青少年生活事件 

分 类 号：R574.4[医药卫生—消化系统]