Drug V L, Costea Florentina, Ciochină Al D, Brădăţan O, Taraşi Iuliana, Mitrică Dana, Stanciu C
Facultatea de Medicină Clinica II Medicală Gastroenterologie, Universitatea de Medicină şi Farmacie Gr.T. Popa Iaşi.
Rev Med Chir Soc Med Nat Iasi. 2002 Apr-Jun;107(2):307-10.
Functional gastrointestinal disorders are frequent causes for medical consultations. Features related to disease, patient or the environment could influence the medical referral. The aim of the study was to estimate the importance of psychiatric disorders in patients with functional gastrointestinal disorders.
The study was designed to have two phases. Phase I consisted in studying the prevalence of Irritable Bowel Syndrome (IBS) and psychiatric past history in a random sample of 338 from an urban community of 18000 people. Phase II consisted in studying the presence of psychiatric history in patients referred for IBS symptoms.
The prevalence of IBS symptoms in the general population was: 14.4% (8.4% in males and 17.7% in females). Psychiatric positive history was present in 6.2% of the general population and in 6.1% of IBS subjects (p > 0.05). Psychiatric disorders were more common in the IBS subjects who were seeking medical assistance (18%) than in subjects with same symptoms from the general population (6.2%) (p < 0.05).
Psychiatric disorders may influence the medial referral for patients with IBS.
功能性胃肠疾病是常见的就医原因。与疾病、患者或环境相关的特征可能会影响医疗转诊。本研究的目的是评估精神障碍在功能性胃肠疾病患者中的重要性。
本研究设计为两个阶段。第一阶段是在一个有18000人的城市社区中，对338名随机抽样者进行肠易激综合征（IBS）患病率及精神病史研究。第二阶段是对因IBS症状转诊的患者进行精神病史研究。
普通人群中IBS症状的患病率为：14.4%（男性为8.4%，女性为17.7%）。普通人群中精神病史阳性率为6.2%，IBS患者中为6.1%（p>0.05）。寻求医疗帮助的IBS患者中精神障碍比普通人群中有相同症状的患者更常见（18%对6.2%）（p<0.05）。
精神障碍可能会影响IBS患者的医疗转诊。
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