Thompson W G
Am J Gastroenterol. 1984 Jun;79(6):450-2.
One hundred forty-eight patients with gastrointestinal disease, 50 patients with the irritable bowel syndrome (IBS) and 49 each with peptic ulcer and inflammatory bowel disease, were interviewed to determine if they had proctalgia fugax (PF) and if the symptom was associated with the IBS. One-third of the patients had PF. It occurred in 51% of females and 12% of males (p less than 0.001). When corrected for sex, PF was no more prevalent in IBS than in peptic ulcer or inflammatory bowel disease. Only two of six previously described IBS symptoms were more prevalent in the PF patients. Attacks occurred in the day in 94%, and one-third of sufferers related them to defecation. The pain was localized in the anus in 90%, occurred less than five times a year in 51%, and lasted less than 1 min in 57%. In most, activity was not interrupted by this pain and only 20% had ever reported it to a physician. PF is very common among patients with abdominal symptoms, but is not related to the IBS. Since it is infrequent, benign, and transient, PF is usually not mentioned to the physician.
对148例胃肠道疾病患者进行了访谈,其中50例患有肠易激综合征(IBS),49例患有消化性溃疡,49例患有炎症性肠病,以确定他们是否有短暂性直肠疼痛(PF),以及该症状是否与IBS相关。三分之一的患者有PF。它在51%的女性和12%的男性中出现(p<0.001)。校正性别后,PF在IBS患者中的患病率并不高于消化性溃疡或炎症性肠病患者。先前描述的IBS六种症状中只有两种在PF患者中更为常见。94%的发作发生在白天,三分之一的患者将其与排便相关。90%的疼痛局限于肛门,51%的患者每年发作少于5次,57%的患者持续时间少于1分钟。大多数情况下,这种疼痛不会干扰活动,只有20%的患者曾向医生报告过。PF在有腹部症状的患者中非常常见,但与IBS无关。由于它不常见、良性且短暂,PF通常不会向医生提及。