天津市成年人慢性便秘调查及相关因素分析

The prevalence of adult's chronic constipation in Tianjin and its associated pathogenetic factors

目的对当前天津市成年人慢性便秘的患病情况及相关因素进行调查。方法9家医院按划分调查范围,采用整群分层随机抽样方法,于2002年8月～2003年3月对7220名年龄大于18岁人群进行调查,调查内容包括疾病相关因素等共118个项目,调查结果进行单因素及多因素Logistic回归分析。结果7220人中慢性便秘检出率为11.6%,其中女性发病率为13.4%,男性为9.7%,差异有显著性(P=0.000)。发病率随年龄增长而增高,且与劳动强度、心理压力、性格、运动情况等相关。慢性便秘与反流性食管炎、功能性消化不良等亦有相关性。结论通过改变生活方式、增加饮水、多进食蔬菜等及减少压力、调整心理、养成良好的排便习惯,可预防和减少慢性便秘的发病率。

Objective To investigate the prevalence of adult's chronic constipation in Tianjin city and to find out its associated pathogenetic factors. Methods During Aug. 2002 to Mar. 2003 the survey of chronic constipation in 7220 subjects aged≥18 in different part of the city and countryside were carred out by nine hospitals based on the clustering, randomly stratified sampling method. There were 118 items investigated in this survey including the possible factors associabed with pathogenesis of chronic constipation. The data were analyzed by Logistic regression. Results The prevalence of chronic constipation was 11.6% in total of 7220 cases which was significantly higher in females than in male(13.4% vs 9.7%, P =0.000) . The prevalence of chronic constipation increased with growing of age and related with occupation, exercises, psychological pressure, the habit of intake food and water. In addition,the chronic constipation was associated with reflux esophagitis and chronic gastritis. Conclusion The measures of changing life style, drinking more water, taking more vegetables and having a good habit of bowel evacuation may decrease the prevalence of chronic constipation.