石河子大学不同专业硕士研究生IBS发病情况的比较分析

发布时间：2018-11-02 11:02

【摘要】：目的：肠易激综合征(Irritable Bowel Syndrome，IBS)是世界范围的常见慢性功能性疾病。随着生活水平的提高和饮食方式的改变，其发病率在国内外都有逐年升高的趋势。功能性胃肠病必须是在排除器质性疾病基础上诊断的消化道疾病，有别于肿瘤、炎症等显著器质性病变。功能性胃肠病病程长，病情复杂，多数迁延起伏，不易治愈，显著影响患者的生活质量，使其反复多方求医造成医疗花费巨大和医疗资源浪费。患者不仅长期承受躯体不适，而且极易同时伴有心理疾病。本研究是应用罗马III标准进行石河子大学不同专业硕士研究生肠易激综合征的流行病学和相关影响因素的课题研究。探讨石河子大学不同专业（文学、医学、理学）硕士研究生之间IBS发病率、影响因素的差异，为进一步探讨高学历人才IBS的发病及其与生活相关因素、精神心理因素的关系提供理论基础，为临床预防及治疗IBS提供参考。 方法：对石河子大学不同专业（医学、文学、理学）1000名在校硕士研究生进行问卷调查，包括根据肠易激综合征罗马III诊断标准设计本研究所采用的问卷查表、ZUNG焦虑自评量表(self-rating anxiety scale, SAS)、ZUNG抑郁自评量表(self-rating depressionscale, SDS)、IBS生活因素调查表。调查时间自2012年12月至2013年6月，并对结果进行统计和分析。 结果：1000份调查问卷共获得有效调查问卷915份，总体有效率为91.5%。被诊断为IBS的为83人，IBS总体患病率为9.07%，其中男性40人，患病率为8.32%，女性43人，患病率为9.91%。医学专业患病率为8.97%，，文学专业患病率为8.36%，理学专业患病率为9.81%。女性患病率高于男性（9.91%vs.8.32%，χ2=4.312，P=0.037）；医学专业与理学专业以及文学专业之间IBS的患病率没有明显的统计学差异；logistic回归分析示，进食生冷食物频率≥3次每周、进食乳制品频率≥3次每周、进食高纤维食物频率＜4次每周、体育活动时间频率＜4小时每周、失眠次数≥3次每周、焦虑、抑郁可能是IBS患病的危险因素。 结论：不同专业硕士研究生之间IBS患病率无明显差异，女性患病率高于男性，进食生冷食物、进食乳制品频率≥3次每周、进食高纤维食物频率＜4次每周、体育活动时间＜4小时每周、失眠次数≥3次每周，以及处于焦虑、抑郁状态均与IBS的发病有关，或与上述因素共同作用有关，应予以针对性的干预措施做好防治工作。
[Abstract]:Objective: irritable bowel syndrome (Irritable Bowel Syndrome,IBS) is a common chronic functional disease worldwide. With the improvement of living standard and the change of dietary style, the incidence of disease has been increasing year by year at home and abroad. Functional gastrointestinal disease must be diagnosed on the basis of excluding organic diseases, which is different from tumor, inflammation and other significant organic diseases. The course of functional gastrointestinal disease is long, the disease is complex, most of them are undulating and difficult to cure, which significantly affect the quality of life of the patients, and make them spend a lot of medical treatment and waste medical resources. Patients not only suffer from long-term physical discomfort, but also easily accompanied by psychological illness. This study is to study the epidemiology and related influencing factors of irritable bowel syndrome (IBS) in graduate students of different specialties in Shihezi University using III standard in Rome. To explore the incidence and influencing factors of IBS among graduate students of different majors (literature, medicine, science) in Shihezi University, in order to further explore the incidence of IBS and its related factors with life. The relationship between mental and psychological factors provides a theoretical basis for clinical prevention and treatment of IBS. Methods: a questionnaire survey was conducted among 1000 graduate students of different specialties (medicine, literature, science) in Shihezi University. The questionnaire was designed according to Roman III diagnostic criteria for irritable bowel syndrome (IBS). ZUNG self-rating anxiety scale (self-rating anxiety scale, SAS), ZUNG self-rating Depression scale) (self-rating depressionscale, SDS), IBS Life Factor questionnaire). The survey was conducted from December 2012 to June 2013 and the results were statistically analyzed. Results: a total of 915 effective questionnaires were obtained from 1000 questionnaires, and the overall effective rate was 91.5%. The total prevalence rate of IBS was 9.07. The prevalence rate was 8.32 in 40 males and 43 in females, and the prevalence rate was 9.91%. The prevalence rate of medicine, literature and science was 8.97, 8.36 and 9.81 respectively. The prevalence rate of IBS in women was higher than that in men (9.91 vs 8.32, 蠂 2 = 4.312), and there was no significant difference in the prevalence of IBS between the major of medicine and science and the major of literature. Logistic regression analysis showed that the frequency of eating raw and cold food was more than 3 times a week, the frequency of consuming dairy products was more than 3 times per week, the frequency of consuming high fiber food was less than 4 times a week, the frequency of physical activity was less than 4 hours per week, the frequency of insomnia was more than 3 times per week, anxiety. Depression may be a risk factor for IBS. Conclusion: there was no significant difference in the prevalence of IBS among postgraduates of different specialties. The prevalence of IBS in females was higher than that in males. The frequency of dairy products was more than 3 times a week, and the frequency of high fiber foods was less than 4 times per week. Physical activity time < 4 hours per week, insomnia times 鈮

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