URGENCY AND FECAL SOILING IN PEOPLE WITH BOWEL DYSFUNCTION
URGENCY AND FECAL SOILING IN PEOPLE WITH BOWEL DYSFUNCTION
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DOI：
10.1007/bf01296523
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发表时间：
1986-11-01
影响因子：
3.1
通讯作者：
MCKEE, DC
中科院分区：
文献类型：
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作者：
DROSSMAN, DA;SANDLER, RS;MCKEE, DC
在人群和肠易激综合征（IBS）患者中，尿急和粪便污染的频率以及这些症状与寻求医疗保健的相关性尚不清楚。在我们调查的1128名学生和医院员工中，14.4%的人报告有紧迫感，5.3%的人报告有粪便污染，9.0%的人报告有腹泻。大多数粪便污染者没有报告尿急或腹泻。虽然20%（227）的患者存在肠易激综合征的肠功能障碍，但该组中只有29%（65）的患者因肠道疾病就诊。患有肠功能障碍的人更有可能是女性，服用泻药，并有直肠紧迫感。粪便污染在那些患有肠功能障碍的人中更有可能去看医生，包括这组中几乎一半的男性。无论是否去看过医生，患有肠功能障碍的患者报告的腹泻频率没有差异。这些数据表明，粪便污染可能会影响肠功能障碍患者去看医生。需要进行生理学研究来确定肛门括约肌功能障碍是否是IBS的一个组成部分。
The frequency of urgency and fecal soiling in the population and among people with irritable bowel syndrome (IBS), and the association of these symptoms with health care seeking is unknown. Among 1128 students and hospital employees that we surveyed, urgency was reported in 14.4%, fecal soiling in 5.3%, and diarrhea in 9.0%. Most persons with fecal soiling did not report urgency or diarrhea. Although bowel dysfunction compatible with IBS was present in 20% (227), only 29% of this group (65) had seen a physician for bowel complaints. People with bowel dysfunction were more likely to be women, to take laxatives, and to have rectal urgency. Fecal soiling was more likely among those with bowel dysfunction who had been to the doctor, and included almost half of the men in this group. There was no difference in the frequency of diarrhea reported among those with bowel dysfunction regardless of whether they had been to the doctor. These data suggest fecal soiling may influence people with bowel dysfunction to go to the doctor. Physiological studies are needed to determine if anal sphincter dysfunction is a component of IBS.