Siproudhis Laurent, Pigot François, Godeberge Philippe, Damon Henri, Soudan Denis, Bigard Marc André
Gastroenterology Unit, Centre Hospitalier Régionale & Universitaire de Pontchaillou, Rennes, France.
Dis Colon Rectum. 2006 Feb;49(2):219-27. doi: 10.1007/s10350-005-0249-8.
Despite frequent occurrence, functional defecation disorders and related conditions have been infrequently reported in population studies. This study was designed to assess symptoms, lifestyle-behavioral changes, and medical care seeking related to functional defecation disorders in a large household community survey.
A large household community survey was conducted in 10,000 individuals aged 15 years or older. A mailed questionnaire was used to assess ten common anorectal complaints; frequency, association, impact on quality of life, and medical care seeking were quantified.
Evaluation was obtained in 7,196 patients (3,455 males). During the previous 12-month period, 2,097 patients (29.1 percent) experienced functional defecation disorders: outlet constipation and fecal incontinence were reported in 22.4 and 16.8 percent respectively. Compared with patients with no anorectal complaint, patients with functional defecation disorders had a different gender status (females, 63.3 vs. 47.6 percent; P<0.01). Based on symptom severity, functional defecation disorders were perceived as the main anorectal complaint in 1,192 patients. In this group, emptying difficulties, unsatisfied defecation, gas, and fecal incontinence occurred at least once per month in 71.6, 56.1, 77.9, and 49 percent respectively: 66.6 percent with outlet constipation and 85.6 percent with incontinence revealed impairment in quality of life. Incontinent patients more frequently avoided medical care than those complaining of outlet constipation (67.4 vs. 46.4 percent; P<0.01).
Functional defecation disorders concerns at least one of four French individuals. Outlet constipation and fecal incontinence frequently occur in association. Despite a low rate of patients seeking care, symptoms often are severe and related to quality of life impairment.
尽管功能性排便障碍及相关病症频繁发生，但在人群研究中却鲜有报道。本研究旨在通过一项大型家庭社区调查，评估与功能性排便障碍相关的症状、生活方式行为变化以及医疗就诊情况。
对10000名15岁及以上的个体进行了一项大型家庭社区调查。采用邮寄问卷的方式评估十种常见的肛肠疾病症状；对其发生频率、关联性、对生活质量的影响以及医疗就诊情况进行了量化分析。
共获得7196例患者（3455名男性）的评估结果。在之前的12个月期间，2097例患者（29.1%）患有功能性排便障碍：其中出口型便秘和大便失禁的报告发生率分别为22.4%和16.8%。与无肛肠疾病症状的患者相比，功能性排便障碍患者的性别构成有所不同（女性分别为63.3%和47.6%；P<0.01）。根据症状严重程度，在1192例患者中，功能性排便障碍被视为主要的肛肠疾病症状。在这组患者中，排便困难、排便不尽、气体问题和大便失禁每月至少发生一次的比例分别为71.6%、56.1%、77.9%和49%：出口型便秘患者中有66.6%、大便失禁患者中有85.6%的生活质量受到损害。大便失禁患者比主诉出口型便秘的患者更频繁地避免就医（分别为67.4%和46.4%；P<0.01）。
功能性排便障碍困扰着至少四分之一的法国人。出口型便秘和大便失禁经常相伴发生。尽管患者寻求医疗护理的比例较低，但症状往往较为严重且与生活质量受损有关。
