Chu Li, Zhou Hong, Lü Bin, Li Meng, Chen Ming-yan
Department of Gastroenterology, the First Affiliated Hospital, Zhejiang Chinese Medical University, Hangzhou 310006, China.
Zhonghua Nei Ke Za Zhi. 2012 Jun;51(6):429-32.
OBJECTIVE: To study the epidemiologic features of functional bowel disorders (FBD) among medical students and science and engineering students in Zhejiang province, China, and to explore the relationship between psychological factors and FBD. METHODS: This study was a survey of random sampling based on the Rome III Diagnostic Questionnaire (Rome III-DQ) conducted from November 2010 to March 2011. The survey was carried out among medical students and science and engineering students respectively in two universities in Zhejiang province. Symptom Check List 90 (SCL-90) was used for psychological analysis. RESULTS: Among 1870 participants, 1033 were diagnosed as FBD based on Rome III criteria, with an overall incidence of 55.24%. The majority cases were unspecified functional bowel disorder, with an incidence of 26.58% (497/1870), others were functional constipation 16.95% (317/1870), irritable bowel syndrome 6.90% (129/1870), functional bloating 4.12% (77/1870) and functional diarrhea 0.70% (13/1870). The prevalence varied in different genders, majors and grades. In the multivariate analysis, women had a higher risk of any FBD than men [68.33% (617/903) vs 43.02% (416/967)] except for functional diarrhea; and medical students had a higher risk of any FBD than science and engineering students [68.53% (734/1071) vs 37.42% (299/799)]. Generally higher grade undergraduates had relatively higher risks than lower grade students, especially in medical students. Among the participants with FBD, 44.05% (455/1033) had other functional gastrointestinal disorders. In those overlapped parts, 9.00% (93/1033) had belching disorders, and 8.23% (85/1033) had functional dyspepsia. Students with FBD got higher scores in SCL-90 than healthy students. CONCLUSIONS: This study revealed a high rate of FBD among college students in Zhejiang province. The prevalence varied in different majors, and female higher than male. Psychological factors also had close relationships with FBD.
目的:研究中国浙江省医学生和理工科学生中功能性肠病(FBD)的流行病学特征,并探讨心理因素与FBD之间的关系。 方法:本研究是一项基于罗马III诊断问卷(Rome III-DQ)的随机抽样调查,于2010年11月至2011年3月进行。分别在浙江省两所大学的医学生和理工科学生中开展调查。采用症状自评量表90(SCL-90)进行心理分析。 结果:在1870名参与者中,根据罗马III标准,有1033人被诊断为FBD,总发病率为55.24%。大多数病例为未特定的功能性肠病,发病率为26.58%(497/1870),其他依次为功能性便秘16.95%(317/1870)、肠易激综合征6.90%(129/1870)、功能性腹胀4.12%(77/1870)和功能性腹泻0.70%(13/1870)。患病率在不同性别、专业和年级中有所差异。多因素分析显示,除功能性腹泻外,女性患任何FBD的风险均高于男性[68.33%(617/903)对43.02%(416/967)];医学生患任何FBD的风险高于理工科学生[68.53%(734/1071)对37.42%(299/799)]。一般高年级本科生的风险相对高于低年级学生,尤其是医学生。在患有FBD的参与者中,44.05%(455/1033)还患有其他功能性胃肠病。在这些重叠部分中,9.00%(93/1033)患有嗳气障碍,8.23%(85/1033)患有功能性消化不良。患有FBD的学生在SCL-90上的得分高于健康学生。 结论:本研究揭示了浙江省大学生中FBD的高发病率。患病率在不同专业中有所差异,女性高于男性。心理因素也与FBD密切相关。
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