The epidemiology of functional gastrointestinal disorders.
The epidemiology of functional gastrointestinal disorders.
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功能性胃肠道疾病的流行病学。
DOI：
10.1080/11024159850191265
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发表时间：
1998
期刊：
影响因子：
--
通讯作者：
L. Agréus
中科院分区：
文献类型：
--
作者：
L. Agréus
功能性胃肠道疾病最常见的分类为胃食道反流病(GORD)、消化不良和肠易激综合征(IBS)。Gord被定义为有主要的反流症状，目前不被认为是消化不良的一个亚型。消化不良分为胃溃疡样、运动障碍样、不明原因，有时反流症状合并腹部主诉时为反流样消化不良)。然而，这一研究的临床意义值得怀疑。如果出现消化不良症状并伴有排便习惯障碍，则受试者被认为患有肠易激综合征。在临床情况下，患者常出现症状重叠，并不时出现主要症状谱变化。不同的定义使流行率报告的可比性较低。在文献中，三个月期间GORD患病率的大致平均值是：10%的人口报告GORD，25%的人报告总体反流症状，25%的人报告消化不良(没有明显的反流症状)，15%的人报告消化不良没有伴随的反流症状，15%的人报告IBS。
Functional gastrointestinal disorders are most commonly divided into gastro-oesophageal reflux disease (GORD), dyspepsia and the irritable bowel syndrome (IBS). GORD is defined as having predominant reflux symptoms, and is nowadays not considered to be a subgroup of dyspepsia. Dyspepsia is divided into subgroups (ulcer-like, dysmotility-like, unspecified and sometimes, when reflux symptoms are combined with abdominal complaints, reflux-like dyspepsia). The clinical relevance of this is however doubtful. If dyspeptic symptoms occur with concomitant bowel habit disturbances, the subject is said to have IBS. In the clinical situation, the patients often present with symptom overlap, and with change in main symptom profile from time to time. Different definition makes prevalence reports less comparable. An approximate average in the literature of the three-month period prevalence of GORD is that it is reported by 10% of the population, of overall reflux symptoms by 25%, of dyspepsia (without predominant reflux symptoms) by 25%, of dyspepsia without concomitant reflux symptoms by 15% and of IBS by 15% of the population.