EVIDENCE FOR EXACERBATION OF IRRITABLE BOWEL SYNDROME DURING MENSES
EVIDENCE FOR EXACERBATION OF IRRITABLE BOWEL SYNDROME DURING MENSES
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DOI：
10.1016/0016-5085(90)91079-l
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发表时间：
1990-06-01
期刊：
影响因子：
29.4
通讯作者：
SCHUSTER, MM
中科院分区：
文献类型：
--
作者：
WHITEHEAD, WE;CHESKIN, LJ;SCHUSTER, MM
许多妇女报告说，肠道症状与月经有关，但这些投诉的患病率及其生理基础尚不清楚。本研究旨在评估患病率，确定肠易激综合征患者是否更有可能提出此类投诉，并确定月经期间的肠道投诉是否可归因于心理特征，如增加躯体化。为了估计患病率，马里兰州（美国）计划生育的369名客户被问及月经期间是否发生胀气、腹泻或便秘。将这些受试者与转诊到胃肠病诊所的女性进行比较，发现她们患有肠易激综合征或功能性肠病（腹痛加上排便习惯改变，但不符合肠易激综合征的限制性标准）。在233名否认肠易激综合征或功能性肠病症状的计划生育客户中，有34%的人报告月经与一种或多种肠道症状有关。患有肠易激综合征的胃肠病门诊患者更有可能出现这些肠道症状的加重，尤其是肠气增加。月经期间自我报告的肠道症状与心理特征或月经相关的情感变化无关。
Many women report that bowel symptoms are associated with menstruation, but neither the prevalence of these complaints nor their physiological basis is known. This study aimed to estimate prevalence, to determine whether patients with irritable bowel syndrome are more likely to make such complaints, and to determine whether bowel complaints during menstruation are attributable to psychological traits such as increased somatization. To estimate prevalence, 369 clients of Planned Parenthood of Maryland (USA) were asked whether gas, diarrhea, or constipation occurred during menstruation. These subjects were compared with women referred to a gastroenterology clinic and found to have irritable bowel syndrome or functional bowel disorder (abdominal pain plus altered bowel habits but not satisfying restrictive criteria for irritable bowel syndrome). Thirty-four percent of 233 Planned Parenthood clients who denied symptoms of irritable bowel syndrome or functional bowel disorder reported that menstruation was associated with one or more bowel symptoms. Gastroenterology clinic patients with irritable bowel syndrome were significantly more likely to experience exacerbations of each of these bowel symptoms, but especially increased bowel gas. Self report of bowel symptoms during menstruation were not association with pshychological traits or with menses-related changes in affect.