Functional Bowel Disorders in Apparently Healthy People
Functional Bowel Disorders in Apparently Healthy People
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DOI：
10.1016/0016-5085(80)90142-0
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发表时间：
1980-08
期刊：
影响因子：
29.4
通讯作者：
W. Thompson;K. Heaton
中科院分区：
文献类型：
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作者：
W. Thompson;K. Heaton
通过对301名年轻、中年和老年健康受试者进行问卷调查，了解功能性胃肠道疾病的症状。腹痛、排便后感觉排便不完全、尿急、大便稀、排便困难、肠鸣、腹胀、烧心和使用泻药都很常见。痉挛性肠易激综合征（IBS）的典型症状模式发生在13.6%的受试者中。7%的人患有非结肠疼痛，通常与胃灼热有关。另有3.7%的患者出现无痛性腹泻，但没有痉挛性IBS的特征。6%的人患有无痛性便秘。随着年龄的增长，焦虑似乎也在增加。因此，四个临床上不同的功能性肠综合征存在于几乎三分之一的研究对象。他们中的大多数人没有看过医生。基于医院的IBS研究来自选定的少数患者，可能不适用于所有患者。
Symptoms of functional gastrointestinal disorder were sought by a questionnaire administered to 301 apparently healthy subjects in young, middle-aged, and elderly categories. Abdominal pain, a feeling of incomplete evacuation after defecation, urgency, scybala, runny stools, straining at stool, borborygmi, distension, heartburn, and laxative use were all very common. The typical symptom pattern of the spastic irritable bowel syndrome (IBS) occurred in 13.6% of subjects. Seven percent suffered noncolonic pain that was commonly associated with heartburn. A further 3.7% had painless diarrhea without the features of the spastic IBS. Six percent suffered painless constipation. Constipation seemed to increase with age. Thus four clinically distinct functional bowel syndromes existed in almost one-third of the subjects studied. Most of these had not consulted a doctor. Hospital-based studies of the IBS derive from a selected minority of patients and may not be applicable to all sufferers.