Sandler R S, Stewart W F, Liberman J N, Ricci J A, Zorich N L
Division of Digestive Diseases and Nutrition and the Center for Gastrointestinal Biology and Disease, University of North Carolina at Chapel Hill, 27599-7080, USA.
Dig Dis Sci. 2000 Jun;45(6):1166-71. doi: 10.1023/a:1005554103531.
The prevalence and impact of abdominal pain, bloating, and diarrhea in the adult US population are largely unknown. We conducted a national, cross-sectional, telephone survey of US households to provide estimates of the frequency, duration, severity, and impact of specific digestive symptoms during the previous month. A total of 2510 subjects completed interviews (70.7% response rate). Among the respondents, 1017 (40.5%) reported one or more digestive symptoms within the month before the interview, including abdominal pain or discomfort 21.8%, bloating or distension 15.9%, and diarrhea or loose stools 26.9%. Women were more likely than men to report abdominal pain or discomfort (24.4% vs 17.5%) and bloating or distension (19.2% vs 10.5%), but not diarrhea or loose stools (27.1% vs 26.7%). Symptoms were less common among those > or =60 years of age. More than 65% of respondents rated symptoms as moderate or severe in intensity, and the majority reported limitations in daily activities. We conclude that digestive symptoms are more common than previously recognized and have a significant impact.
在美国成年人群中，腹痛、腹胀及腹泻的患病率和影响在很大程度上尚不清楚。我们对美国家庭进行了一项全国性横断面电话调查，以估计前一个月特定消化症状的发生频率、持续时间、严重程度及影响。共有2510名受试者完成了访谈（应答率为70.7%）。在受访者中，1017人（40.5%）报告在访谈前一个月内出现了一种或多种消化症状，包括腹痛或不适（21.8%）、腹胀或腹部膨隆（15.9%）以及腹泻或稀便（26.9%）。女性比男性更有可能报告腹痛或不适（24.4%对17.5%）以及腹胀或腹部膨隆（19.2%对10.5%），但腹泻或稀便的报告情况并非如此（27.1%对26.7%）。症状在60岁及以上人群中不太常见。超过65%的受访者将症状评为中度或重度，且大多数人报告日常活动受到限制。我们得出结论，消化症状比之前认为的更为常见，且具有重大影响。
