High prevalence of irritable bowel syndrome in medical outpatients in Japan
High prevalence of irritable bowel syndrome in medical outpatients in Japan
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DOI：
10.1097/mcg.0b013e318150d006
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发表时间：
2008-10-01
影响因子：
2.9
通讯作者：
Miwa, Takeshi
中科院分区：
文献类型：
--
作者：
Shinozaki, Masae;Fukudo, Shin;Miwa, Takeshi
背景和目标：肠易激综合征（IBS）的患病率在日本患者谁访问医院内科被认为是高的。然而，没有提供明确的统计证据来支持这一说法。我们测试了假设，IBS的患病率在日本的医疗门诊诊所是高的。IBS患者比非IBS患者感受到更多的心理社会压力。研究：本研究的受试者是633名拜访参与医生的患者。患者被要求填写日文版的罗马II模块化问卷（RIIMQ）进行IBS诊断。结果：196例患者确诊为罗马II型肠易激综合征（IBS），占31%。方差分析显示IBS患者（39.0 ± 11.1，平均值± SD）、功能性肠病患者（27.1 ± 10.2）和正常人（24.0 ± 10.0，P < 0.01）的SIBSQ评分存在显著差异。IBS的患病率随年龄的增长形成两个高峰，一个是青少年，另一个是老年人。IBS患者比非IBS患者有更明显的压力感受（P < 0.0001）、不规律的睡眠习惯（P <0.0001）和不规律的饮食习惯（P < 0.0001）。医学疾病患者中的IBS受试者被认为具有更多的感知压力和更少的规律生活方式。
Background and Goals: The prevalence of irritable bowel syndrome (IBS) among Japanese patients who visit hospitals departments of internal medicine is thought to be high. However, no clear statistical evidence has been provided to support such a claim. We tested the hypotheses that the prevalence of IBS in medical outpatients clinics in Japan is high. and that IBS patients feel more psychosocial stress than patients without IBS.Study: The subjects in this study were 633 patients who visited participating physicians. Patients were asked to fill in the Japanese version of the Rome II Modular Questionnaire (RIIMQ) for IBS diagnosis. the Sell-reported Irritable Bowel Syndrome Questionnaire (SIBSQ) for severity of the disease and the demographic quetionnaire for perceived stress and life style.Results: Rome II-defined IBS was diagnosed in 196 patients 31%). Analysis of variance revealed significant difference in the IBS scores of SIBSQ among IBS subjects (39.0 +/- 11.1, mean +/- SD), functional bowel disorder subjects (27.1 +/- 10.2), and normal subjects (24.0 +/- 10.0, P < 0.01). The prevalence of IBS depending oil age formed 2 peaks, one among adolescents and the other among the elderly. IBS patients had significantly more perceived stress (P < 0.0001), irregular sleep habit (P < 0.0001 and irregular meal habit (p < 0.0001) than those without IBS.Conclusions: The prevalence of IBS among medical outpatients in Japan is high (31%). IBS subjects among medically ill patients are thought to have more perceived stress and less regular life styles.