控江地区成年人慢性便秘的流行病学调查及相关分析

Epidemiologic Survey on the Incidence of Adult Chronic Constipation in Kongjiang Region, and Its Relevant Analysis

为了解上海市控江地区成年人慢性便秘的患病率及相关影响因素，本研究随机抽取延吉、江浦、大桥、控江四个社区卫生中心及控江医院普通内科和肛肠科就诊的18岁以上患者1986例进行问卷调查，并分析慢性便秘患者的年龄分布、性别差异和文化程度。结果显示，控江地区慢性便秘的患病率为6．85％，男性患病率显著低于女性（1：2．4）。随着年龄的增长，慢性便秘的患病率明显升高；其发病率与患者文化程度无关。慢性便秘患者愿意接受肠镜检查的仅占便秘患者的18．38％，文化程度较低者易接受肠镜检查。肠镜检查结果提示，长期滥用泻剂的便秘患者的结肠黑变病患病率较高，达66．67％。结果表明，慢性便秘在控江地区的居民中是一种患病率较高的疾病，其患病率与性别、年龄有关，与文化程度无关；文化程度低者更易接受肠镜检查。

This study was to investigate the incidence of adult chronic constipation （CC） in Kongjiang region of Shanghai City,and its relevant influence factor, took a questionnaire survey to 1986 patients sampled randomly from Yanji,Jiangpu, Daqiao and Kongjiang community health centers, and general internal medicine department as well coloproctologic department of Kongjiang hospital,and analyzed the age distribution, sex difference and educational level of these patients. As results, the incidence of CC in Kongjiang region was 6.85% ,male was significantly low that female（1 ： 2.4） ;with age increasing the incidence greatly lifted,but was not related to educational level;among CC patients who willing to receive enteroscopy only was 18. 38%, and who of lower educational level easily willing to receive enteroscopy; enteroseopy showed that CC patients long-term indiscriminately using laxatives had the higher incidence of melanosis coli,up to 66.67%. Above survey results show that CC is a disease with higher incidence in Kongjiang region which is related to sex,age,but not to educational level,who of lower educational level easily willing to receive enteroscopy.