Łokieć Katarzyna, Klupińska Grazyna, Walecka-Kapica Ewa, Błońska Aleksandra
Pol Merkur Lekarski. 2014 May;36(215):307-10.
Irritable bowel syndrome (IBS) is one of the most common reason for gastroenterology consultations. The diverse in symptomatology of the disease comes from its rich etiopathogenesis. Recently studies talk about infectious etiology of IBS and because of that it is necessary to expand its diagnostics by small intestinal bacterial overgrowth (SIBO) test. The aim of this study was to evaluate the prevalence of small intestinal bacterial overgrowth in patients with constipation (IBS-C) and diarrhea (IBS-D) irritable bowel syndrome with regard to nutrition.
The study involved 46 subjects (33 women and 13 men) in average age of 44 years, which were divided into two groups: diarrhea and constipation IBS. All patients underwent hydrogen breath test studying bacterial overgrowth in the small intestine. In addition, each person had fulfilled a feeding questionnaire.
Student's t-test, Pearson test.
It has been shown that there is no statistical significances between the prevalence of SIBO in form of diarrheal IBS and constipation IBS and gender. Average value of increments of hydrogen in breath during the test was higher in IBS-C in comparison with IBS-D, which was the highest in the intestine bacterial overgrowth in patients with IBS-C. STATISTICAL ANALYSIS showed that there is no relationship between the type and frequency of consumption of milk, meat, fruit and vegetables, sweets and coffee and the prevalence of SIBO in form of diarrhea and constipation IBS.
The occurrence of constipation or diarrhea irritable bowel syndrome is not related to gender. SIBO is more common in patients with IBS-C than in IBS-D group. There is no relationship between the type of food consumed and the amount of SIBO in people with IBS. Type of food intake do not affect the status of the intestinal flora of people with IBS.
肠易激综合征（IBS）是胃肠病学门诊最常见的原因之一。该疾病症状的多样性源于其丰富的病因。最近的研究探讨了IBS的感染性病因，因此有必要通过小肠细菌过度生长（SIBO）检测来扩大其诊断范围。本研究的目的是评估便秘型（IBS-C）和腹泻型（IBS-D）肠易激综合征患者小肠细菌过度生长的患病率与营养状况的关系。
本研究纳入46名受试者（33名女性和13名男性），平均年龄44岁，分为两组：腹泻型IBS和便秘型IBS。所有患者均接受了氢呼气试验以研究小肠细菌过度生长情况。此外，每个人都填写了一份饮食问卷。
采用学生t检验、皮尔逊检验。
结果表明，腹泻型IBS和便秘型IBS的SIBO患病率以及性别之间均无统计学意义。与IBS-D相比，IBS-C患者在测试期间呼气中氢气增加的平均值更高，在IBS-C患者的肠道细菌过度生长中最高。统计分析表明，牛奶、肉类、水果和蔬菜、甜食和咖啡的食用类型和频率与腹泻型和便秘型IBS的SIBO患病率之间没有关系。
便秘型或腹泻型肠易激综合征的发生与性别无关。SIBO在IBS-C患者中比在IBS-D组中更常见。IBS患者所食用食物的类型与SIBO的数量之间没有关系。食物摄入类型不影响IBS患者的肠道菌群状态。
