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绝经前女性便秘的患病率及其相关因素:一项基于社区的研究。

PREVALENCE AND FACTORS ASSOCIATED WITH CONSTIPATION IN PREMENOPAUSAL WOMEN: A COMMUNITY-BASED STUDY.

作者信息

Dantas Amanda Almeida Gomes, Barbosa Isabelle Ribeiro, Castro Shamyr Sulyvan de, Ferreira Caroline Wanderley Souto, Camara Saionara Maria Aires da, Dantas Diego de Sousa

机构信息

Universidade Federal do Rio Grande do Norte, Faculdade de Ciências da Saúde de Trairi (FACISA), Santa Cruz, RN, Brasil.

Universidade Federal do Ceará, Fortaleza, CE, Brasil.

出版信息

Arq Gastroenterol. 2020 Apr-Jun;57(2):188-192. doi: 10.1590/S0004-2803.202000000-36.

Abstract

BACKGROUND

Intestinal constipation is characterized by problems related to evacuation, and presents high prevalence in the female gender. This condition has demonstrated negative effects on the development of daily activities, causing damage to the physical and emotional well-being of individuals who are diagnosed with it. Studies that investigate what health impairments intestinal constipation can cause are scarce in the literature.

OBJECTIVE

This study aimed to verify the prevalence and factors associated with intestinal constipation in premenopausal women living in Northeastern Brazil.

METHODS

It is a cross-sectional study. This was carried out in the northeast of Brazil. Participated 195 women, adult and middle age. Social conditions, habits and lifestyle, clinical aspects and obstetric history were investigated. Constipation was diagnosed using the Rome III Criteria. Multivariate analysis was conducted using Poisson Regression with robust variance to analyze the relationship between intestinal constipation and independent variables. A statistical significance level of P<0.05 was considered.

RESULTS

Most of the women were between 25 and 39 years old (49.2%) and had an income of up to one minimum wage (79.5%). The intestinal constipation prevalence was 35.4%. In the final multivariate regression model, hemorrhoid clinical aspects (P=0.01), pain (P=0.001) and a burning sensation (P=0.01) on bowel movement, and sexual dysfunction (P=0.03) remained associated with constipation.

CONCLUSION

The present study found a significant prevalence of constipation among premenopausal women and clinical factors such as hemorrhoids, pain and a burning sensation, and sexual dysfunction were associated with intestinal constipation.

摘要

背景

肠道便秘的特征是与排便相关的问题,在女性中患病率较高。这种情况已证明对日常活动的开展有负面影响,会损害被诊断患有便秘的个体的身心健康。文献中很少有研究调查肠道便秘会导致哪些健康损害。

目的

本研究旨在核实居住在巴西东北部的绝经前女性中肠道便秘的患病率及相关因素。

方法

这是一项横断面研究。在巴西东北部开展。195名成年和中年女性参与。调查了社会状况、习惯和生活方式、临床情况及产科病史。使用罗马III标准诊断便秘。采用具有稳健方差的泊松回归进行多变量分析,以分析肠道便秘与自变量之间的关系。将P<0.05的统计显著性水平视为有意义。

结果

大多数女性年龄在25至39岁之间(49.2%),收入至多为一个最低工资标准(79.5%)。肠道便秘患病率为35.4%。在最终的多变量回归模型中,痔疮的临床情况(P=0.01)、排便时的疼痛(P=0.001)和烧灼感(P=0.01)以及性功能障碍(P=0.03)仍与便秘相关。

结论

本研究发现绝经前女性中便秘患病率较高,痔疮、疼痛和烧灼感以及性功能障碍等临床因素与肠道便秘相关。

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