54例肠易激综合征门诊患者症状与饮食因素关系的调查  

Survey of Relationship between Symptoms and Dietary Factors in 54 Outpatients with Irritable Bowel Syndrome

作　　者：伍洁[1] 张蓉[2] 王瑾[3] 张彦亭[4] 张军[1] 

机构地区：[1]西安交通大学第二附属医院消化内科,710003 [2]陕西省人民医院消化内科 [3]西安交通大学第二附属医院麻醉科,710003 [4]西安市中心医院消化内科

出　　处：《胃肠病学》2016年第12期737-741,共5页Chinese Journal of Gastroenterology

基　　金：益普生腹泻研究基金(IDF-2013-07)

摘　　要：背景:肠易激综合征(IBS)是一种常见的功能性肠病,饮食因素是IBS患者腹部症状的重要影响因素。目的:调查饮食因素对西安周边地区IBS患者腹部症状的影响以及饮食调整策略的应用。方法:2015年2月—2015年7月在西安交通大学第二附属医院门诊就诊、以腹部症状为主诉且符合罗马ⅢIBS诊断标准的54例患者纳入研究,另选取20例健康志愿者作为正常对照组,进行内容主要包括IBS症状、饮食习惯、引起IBS腹部症状的饮食因素以及患者应对方式的问卷调查。结果:IBS组日常饮食中的米食多于正常对照组,辛辣、油腻、生冷饮食、酸性饮料、饮酒少于正常对照组,差异均有统计学意义(P<0.05)。最常诱发或加重IBS腹部症状的饮食依次为冷食(55.6%)、油腻饮食(55.6%)、生食(48.1%)、肉类(48.1%)和辛辣饮食(40.7%)。63.0%的IBS患者采取选择性食物剔除的方式应对其腹部症状,剔除最多的依次为辛辣饮食(59.3%)、生食(48.1%)、冷食(44.4%)、油腻饮食(44.4%)和肉类(37.0%)。结论:饮食因素可影响西安周边地区IBS患者的腹部症状,选择性食物剔除是常用的症状缓解方式。国内外IBS人群中引起腹部症状的食物种类/饮食习惯不尽相同。Background： Irritable bowel syndrome（IBS） is a commonly seen functional intestinal disorder.Dietary factors are important factors affecting the abdominal symptoms of IBS patients.Aims： To investigate the effect of dietary factors on abdominal symptoms of IBS and the application of dietary adjustment strategy in patients lived in Xian,Shaanxi Province and the surrounding areas.Methods： Fifty-four outpatients with abdominal complaints who met the Rome Ⅲ criteria of IBS from Feb.2015 to Jul.2015 at the Second Affiliated Hospital of Xian Jiaotong University were enrolled.Twenty healthy volunteers were served as controls.All subjects completed a questionnaire containing issues mainly on IBS symptoms,eating habits,dietary factors causing abdominal symptoms,and the patients ＇ coping styles.Results： Compared with healthy controls,more rice and less spicy food,fatty food,raw/cold food,acidic beverages and alcohol drinking were observed in diet of IBS patients（P all 〈0.05）.Abdominal symptoms of IBS patients could be caused or exacerbated predominantly by cold food（55.6%）,fatty food（55.6%）,raw food（48.1%）,meat（48.1%） and spicy food（40.7%）.More than half of the IBS patients（63.0%） adopted an elimination diet to minimize their abdominal symptoms.Spicy food（59.3%）,raw food（48.1%）,cold food（44.4%）,fatty food（44.4%） and meat（37.0%）were the most frequently eliminated classes of food.Conclusions： Dietary factors can affect the abdominal symptoms of IBS in patients lived in Xian,Shaanxi Province and the surrounding areas and elimination diet based on foods they perceive as problematic is widely used.The classes of food and eating habits causing abdominal symptoms are quite different between domestic and overseas IBS patients.

关 键 词：肠易激综合征 体征和症状 饮食习惯 问卷调查 膳食疗法 

分 类 号：R574[医药卫生—消化系统]