Frexinos J, Denis P, Allemand H, Allouche S, Los F, Bonnelye G
Service de Gastroentérologie et Nutrition, CHU de Rangueil, Toulouse.
Gastroenterol Clin Biol. 1998 Oct;22(10):785-91.
To study the prevalence of "reported" functional digestive symptoms (FDS) in terms easily understood by the general population without resorting to predefined concepts of functional syndromes, and to assess FDS impact on public health, a sample survey has been carried out between September and December 1995.
Four thousand eight hundred and seventeen subjects representative of the French general population aged 15 years or more filled in a questionnaire describing their digestive disorders.
Seventy percent of the subjects had digestive complaints, 9% being related to a presumably organic disease, and 61% attributed to FDS. Twenty-seven % of the subjects claimed to be inconvenienced by their FDS, whereas 34% seemed not to feel any inconvenience. Among FDS, gas emission was the most frequent symptom (59%), followed by stomach ache and/or digestive pain (48%), flatulence (47%), bad digestion sensations (40%), constipation (35%), aerophagia (29%), bad breath (22%), incomplete evacuation of stools (19%). FDS had lasted from 6 months to 5 years in 38%, and over 5 years in 52%. In the subgroup of subjects inconvenienced by FDS (27%), 9% consulted and 18% did not, whereas in the subgroup not inconvenienced, 3% consulted and 31% did not. Altogether, 26% of the subjects followed a prescription or self medication treatment; 35% were not treated. Some explanatory variables appeared to be associated with the onset of inconvenience: the associations pain and bad digestion, flatulence and aerophagia, incomplete evacuation and nervous or presumably organic origin of FDS, age, stress, FDS frequency. Duration of symptoms, age above 65 years, digestive pain, presumably organic origin, and FDS frequency were associated with the need to consult. This descriptive, pragmatic survey shows the widespread prevalence of FDS, affecting 28 million French people. Functional digestive disorders in the "academic" meaning constitute only a limited subset. FDS lead to major health care consumption. Their impact on public health is undoubtedly greater than the estimates derived from studies designed in accordance with conventional nosological categories.
为了以普通大众易于理解的方式研究“报告的”功能性消化症状（FDS）的患病率，而不借助功能性综合征的预定义概念，并评估FDS对公众健康的影响，于1995年9月至12月进行了一项抽样调查。
4817名代表法国15岁及以上普通人群的受试者填写了一份描述其消化紊乱情况的问卷。
70%的受试者有消化方面的主诉，其中9%与可能的器质性疾病有关，61%归因于FDS。27%的受试者称FDS给他们带来不便，而34%似乎没有感到任何不便。在FDS中，排气是最常见的症状（59%），其次是胃痛和/或消化痛（48%）、肠胃胀气（47%）、消化不良感（40%）、便秘（35%）、吞气症（29%）、口臭（22%）、排便不尽（19%）。38%的FDS持续了6个月至5年时间，52%的持续时间超过5年。在因FDS感到不便的受试者亚组（27%）中，9%的人咨询过医生，18%的人未咨询；而在未感到不便的亚组中，3%的人咨询过，31%的人未咨询。总体而言，26%的受试者接受了处方治疗或自行用药治疗；35%未接受治疗。一些解释变量似乎与不便的发生有关：疼痛与消化不良、肠胃胀气与吞气症、排便不尽与FDS的神经源性或可能的器质性起源、年龄、压力、FDS频率之间的关联。症状持续时间、65岁以上年龄、消化痛、可能的器质性起源以及FDS频率与咨询需求有关。这项描述性、实用性调查显示FDS普遍存在，影响着2800万法国人。“学术”意义上的功能性消化紊乱仅占有限的一部分。FDS导致大量医疗保健消费。它们对公众健康的影响无疑大于根据传统疾病分类设计的研究所得出的估计。
