隐性脊柱裂与中老年功能性排便异常的相关性研究  

Correlation between pina bifida occulta and functional defecation abnormality among middle-aged and elderly people

作　　者：谢珊珊[1] 邢玉荣[1] 文建国[2] 吴军卫[2] 杨振兴 

机构地区：[1]郑州大学第一附属医院体检中心,郑州450052 [2]郑州大学第一附属医院泌尿外科尿动力中心/河南省临床医学重点学科开放实验室,郑州450052 [3]陕西中医药大学附属医院骨一科,陕西咸阳712000

出　　处：《重庆医学》2018年第8期1077-1079,1083,共4页Chongqing medicine

基　　金：河南省卫生厅普通攻关项目(201503065)

摘　　要：目的探讨中老年人群腰骶部隐性脊柱裂(SBO)与功能性排便异常的相关性。方法采用整群随机抽样、横断面调查的方法选取郑州市7个小区年龄在45~90岁的人群为调查对象,于郑州大学第一附属医院体检中心进行体检、腰骶部数字化X线片(DR)检查、填写排便异常相关调查问卷,通过对功能性便秘及功能性便失禁者进行诊断及分析,研究SBO与中老年人群排便异常的关系。结果本研究有效样本量为1 057例,男497例,女560例。SBO 167例,男86例,女81例。排便异常为26.02%(275/1 057),男性为23.34%(116/497),女性为28.39%(159/560)。275例排便功能障碍者中合并SBO 72例。Logistic回归分析显示,年龄、SBO、运动情况、生活饮食情况、文化程度、精神心理因素等变量差异有统计学意义(P<0.05),而脑卒中史与排便功能障碍无关(P>0.05)。结论 SBO可能是中老年人群功能性排便异常的危险因素之一。Objective To investigate the relationship between spina bifida occuha in lumbasacral portion and functional defecation abnormality among middle-aged and elderly people. Methods The cross-sectional and cluster random sampling survey method was adopted to select the residents aged 45--90 years old in 7 communities of Zhengzhou City as the respondents. All respond- ents underwent the physical examination and lumbosacral digital radiography（DR） examination in the physical examination center of tlae First Affiliated Hospital of Zhengzhou University,and filled the related questionnaire about defecation abnormality. The relationship between SBO and functional defecation abnormality among middle-aged and elderly people was studied by diagnosing and analyzing the functional constipation（FC） and functional ineontinenee（FC）. Results The effective sample amounts were 1 057 cases,including 497 males and 560 females, 167 eases of SBO（86 males and 81 females）. The morbidity rate of functional defecation abnormality was 26.02%（275/1 057） ,23.34% （116/497） in males and 28. 39% （159/560） in females. Among 275 eases of functional defecation abnormality, there were 72 cases of compficating SBO. The Logistic regression analysis results＇showed that age, SOB, physical activity status, diet and living habits, education level and psychological factors were the risk factors for functional defecation abnormality （P〈0.05）, while there was no relationship between between past-history of stroke and functional defecation abnormality（P〉0.05）. Conclusion SBO may be one of risk factors for functional defecation abnormality among middle-aged and elderly people.

关 键 词：隐性脊柱裂 中老年 排便异常 

分 类 号：R574.4[医药卫生—消化系统]