一项关于瑞典某社区肠道习惯的基于人群的研究：大便失禁和便秘的患病率。

A population-based study on bowel habits in a Swedish community: prevalence of faecal incontinence and constipation.

作者信息

Walter S, Hallböök O, Gotthard R, Bergmark M, Sjödahl R

机构信息

Depts. of Gastroenterology, University Hospital, Linköping, Sweden.

出版信息

Scand J Gastroenterol. 2002 Aug;37(8):911-6. doi: 10.1080/003655202760230865.

DOI:10.1080/003655202760230865

PMID:12229965

Abstract

BACKGROUND

The self-reported bowel habits and the prevalence of faecal incontinence and constipation in men and women between the ages of 31 and 76 are assessed.

METHODS

A postal questionnaire was sent to a random sample (n = 2000) of the total population of persons between the ages of 31 and 76 living in the County of Ostergötland, Sweden.

RESULTS

The response rate was 80.5%. Overall, 67.8% reported one bowel movement per day and 4.4% had more than 21 or less than 3 bowel movements per week. This means that 95.6% had between 3 bowel movements a day to 3 bowel movements a week. Among women, 4.3%, and among men. 1.7%, reported less than 3 bowel movements per week. Women and men used the same terms to describe the definition of constipation. Women had a significantly higher self-reported prevalence of constipation than men (P < 0.0001). About 20% of all women considered themselves constipated. The use of laxatives increased with age and 22% and 10% of elderly women and men, respectively, used laxatives including bulking agents for at least every fourth toilet procedure. About 10% reported leakage of faeces more often than once a month in the case of loose stools. With solid faeces, the rate of leakage was 1.4% and 0.4% for women and men, respectively. Soiling of underclothes more than once a month occurred in 21% of men and in 14.5% of women (P = 0.006) and involuntary daily leakage of gas in 5.9% of men and 4.9% of women (n.s.).

CONCLUSIONS

Constipation and faecal incontinence are common problems in a general Swedish population.

摘要

背景

评估31至76岁男性和女性自我报告的排便习惯以及大便失禁和便秘的患病率。

方法

向瑞典东约特兰郡31至76岁总人口的随机样本（n = 2000）发送邮政调查问卷。

结果

回复率为80.5%。总体而言，67.8%的人报告每天排便一次，4.4%的人每周排便超过21次或少于3次。这意味着95.6%的人每天排便3次至每周排便3次。在女性中，4.3%，在男性中，1.7%报告每周排便少于3次。女性和男性使用相同的术语来描述便秘的定义。女性自我报告的便秘患病率明显高于男性（P < 0.0001）。约20%的女性认为自己便秘。泻药的使用随年龄增加而增加，分别有22%的老年女性和10%的老年男性至少每四次排便就使用包括膨松剂在内的泻药。约10%的人报告在大便稀溏时每月粪便泄漏不止一次。对于固体粪便，女性和男性的泄漏率分别为1.4%和0.4%。每月内衣弄脏不止一次的情况在21%的男性和14.5%的女性中出现（P = 0.006），5.9%的男性和4.9%的女性每天有不自主的气体泄漏（无显著差异）。