Sobral D T, Vidigal K S, Farias e Silva K
Departamento de Clínica Médica, Universidade de Brasília, DF.
Arq Gastroenterol. 1991 Jan-Mar;28(1):27-32.
The purpose of this study was to assess the frequency patterns of 8 digestive symptoms and related features, with regard to functional disorders, in young adults. A sample of 279 subjects, representing the student body at the Medical School of Brasília, filled up the self-report questionnaire. From 20% to 27% of subjects reported more than 6 episodes of one more of the following symptoms, within a 12-month period: indigestion, distension, constipation, heartburn, abdominal pain, and diarrhea. A higher prevalence of constipation in women was a significant (p < 0.05) difference between the sexes. Dyspepsia and irritable bowel syndrome (IBS) were identified by clinical criteria in 25% and 9% of subjects, respectively, while 4% disclosed the occurrence of an organic disease. About 30% of the subjects volunteered perceptions on the meaning of the symptoms, while 22% reported days of restricted activities ascribed to the symptoms. Days of restricted activities were significantly (p < 0.05) related to the number, the type (diarrhea, nausea and vomiting, and abdominal pain), and the IBS pattern of symptoms (but not to the dyspepsia pattern). In conclusion, a substantial proportion of subjects in this student group, contacted at the workplace, showed indexes of clinical dysfunction (recurrence of multiple symptoms), and of social dysfunction (days of restricted activity), which indicate persistent limitations on the digestive health status.
本研究的目的是评估年轻成年人中8种消化系统症状及其相关特征在功能障碍方面的发生频率模式。279名代表巴西利亚医学院学生群体的受试者填写了自我报告问卷。在12个月内，20%至27%的受试者报告出现过以下一种或多种症状6次以上：消化不良、腹胀、便秘、烧心、腹痛和腹泻。女性便秘患病率较高，是两性之间的显著差异（p<0.05）。分别有25%和9%的受试者根据临床标准被诊断为消化不良和肠易激综合征（IBS），而4%的受试者被发现患有器质性疾病。约30%的受试者自愿表达了对症状含义的看法，而22%的受试者报告因症状而限制活动的天数。限制活动的天数与症状的数量、类型（腹泻、恶心和呕吐以及腹痛）以及IBS症状模式显著相关（但与消化不良模式无关）（p<0.05）。总之，在工作场所接触到的这个学生群体中，相当一部分受试者表现出临床功能障碍（多种症状复发）和社会功能障碍（限制活动天数）的指标，这表明消化健康状况持续受到限制。
