摘要
目的 研究浙江省医学和理工科大学生功能性肠病（FBD）流行病学特征，探讨FBD与心理因素的关系。方法 应用成人功能性胃肠病罗马Ⅲ诊断性问卷（ROMEⅢ-DQ）对浙江省两所医学和理工科高校大学生进行抽样调查（2010年11月至2011年3月），采用心理学症状自评量表（SCL-90）进行心理因素分析。结果 共纳入合格问卷1870份，按罗马Ⅲ标准诊断为FBD 1033例，患病率55．24％；FBD各亚型患病率为：非特异性FBD 26．58％（497／1870），功能性便秘16．95％（317／1870），肠易激综合征6．90％（129／1870），功能性腹胀4．12％（77／1870），功能性腹泻0．70％（13／1870）。不同性别、专业、年级的FBD患病率有差异，女性〉男性[68．33％（617／903）比43．02％（416／967）]，医学生〉理工科生[68．53％（734／1071）比37．42％（299／799）]，总体上在校大学生FBD患病率随年级增高而增加，医学生尤其明显。44．05％（455／1033）的FBD重叠其他功能性胃肠病，9．00％（93／1033）的FBD合并嗳气症，8．23％（85／1033）合并功能性消化不良。患FBD大学生的SCL-90得分高于健康大学生。结论 FBD在大学生中有较高患病率，女性高于男性，不同专业患病率有差异，并且FBD与心理因素相关。
Objective To study the epidemiologic features of functional bowel disorders （ FBD ） among medical students and science and engineering students in Zhejiang province, China, and to explore the relationship between psychological factors and FBD. Methods This study was a survey of random sampling based on the Rome Ⅲ Diagnostic Questionnaire （Rome III-DQ） conducted from November 2010 to March 2011. The survey was carried out among medical students and science and engineering students respectively in two universities in Zhejiang province. Symptom Check List 90 （SCL-90） was used for psychological analysis. Results Among 1870 participants, 1033 were diagnosed as FBD based on Rome Ⅲ criteria, with an overall incidence of 55.24%. The majority cases were unspecified functional bowel disorder, with an incidence of 26. 58% （497/1870）, others were functional constipation 16. 95% （317/1870）, irritable bowel syndrome 6. 90% （ 129/1870）, functional bloating 4. 12% （ 77/1870 ） and functional diarrhea O. 70% （13/1870）. The prevalence varied in different genders, majors and grades. In the multivariate analysis, women had a higher risk of any FBD than men [ 68.33% （617/903） vs 43.02% （416/967） ] except for functional diarrhea; and medical students had a higher risk of any FBD than science and engineering students [ 68.53% （ 734/1071 ） vs 37.42% （ 299/799 ） ] . Generally higher grade undergraduates had relatively higher risks than lower grade students, especially in medical students. Among the participants with FBD, 44. 05% （455/1033） had other functional gastrointestinal disorders. In those overlapped parts, 9.00% （ 93/1033 ） had belching disorders, and 8.23% （ 85/1033 ） had functional dyspepsia. Students with FBD got higher scores in SCL-90 than healthy students. Conclusions This study revealed a high rate of FBD among college students in Zhejiang province. The prevalence varied in different majors, and female higher than male. Psychological factors also had close rela
出处
《中华内科杂志》
CAS
CSCD
北大核心
2012年第6期429-432,共4页
Chinese Journal of Internal Medicine
关键词
流行病学
功能性肠病
罗马Ⅲ标准
心理因素
Epidemiology
Functional bowel disorders
Rome Ⅲ criteria
Psychological factors
