生活方式及饮食习惯对肠易激综合征的影响

The effect of lifestyle and eating habits on irritable bowel syndrome

目的探讨生活方式及饮食习惯对肠易激综合征（IBS）发病的影响。方法选取2015-02-2015-05在包头医学院第二附属医院内镜室同时行胃肠镜检查未见异常者542例,依据罗马Ⅲ标准将诊断为IBS 105例设为IBS组,未能诊断为IBS者96例为对照组。根据IBS相关的生活方式及饮食习惯自行设计问卷调查表进行问卷调查,对两组的生活方式及饮食习惯进行比较,并对IBS产生的影响因素进行Logistic回归分析。结果常易诱发IBS的因素有冷食（60.00%）、辛辣食物（51.43%）、油腻食物（37.14%）、牛奶（28.57%）、肉类（20.00%）、饮酒（20.00%）、茶（14.29%）、酸奶（14.29%）,两组在进食早餐、进食水果、蔬菜、吸烟、每日饮水量方面差异有统计学意义（P〈0.05）,而进食主食方面差异无统计学意义（P〉0.05）。进食早餐、多进食蔬菜水果、每日适当较多的饮水是IBS的保护因素,而吸烟是IBS的高危因素。结论良好的生活方式及健康合理的饮食习惯对控制IBS有一定意义。

Objective To investigate the effect of lifestyle and eating habits on irritable bowel syndrome（ IBS）. Methods One hundred and five patients diagnosed as IBS by gastrointestinal endoscopy in our hospital from February 2015 to May 2015 and were collected as IBS group. Other 96 patients without IBS were collected as the control group. All the patients received the questionnaires designed by Rome Ⅲ diagnostic criteria to study the food habits and lifestyles related to IBS. The influencing factors of IBS were examined by the Logistic analysis. Results Cold food（ 60. 00%）,spicy food（ 51. 43%）,rich food（ 37. 14%）,milk（ 28. 57%）,meat（ 20. 00%）,drinking wine（ 20. 00%）,tea（ 14. 29%） and yogurt（ 14. 29%） predisposed the patients to IBS. There were significant differences between the two groups in eating breakfast,fruits and vegetables,in smoking and daily consumption of drinking water（ P〈 0. 05）. However,there was no significance difference in eating staple food between the two groups（ P〈 0. 05）.The protective factors of IBS included eating breakfast,fruits and vegetables,and drinking appropriate water every day. Smoking is the risk factor of IBS. Conclusion A healthy lifestyle and proper diet are helpful for preventing the symptoms of IBS.