基于罗马Ⅳ标准的广西某高职院校学生肠易激综合征患病情况及发病危险因素的调查分析

Investigation analysis of the prevalence situation and risk factors for irritable bowel syndrome of students in a higher vocational college in Guangxi based on the Rome Ⅳ standard

目的探讨高职院校学生肠易激综合征(IBS)的患病情况及发病的危险因素。方法采用整群抽样方法,抽取广西壮族自治区某高职院校的大一新生2626名,采用罗马Ⅳ标准对他们进行问卷调查诊断以了解学生IBS的患病情况,并对IBS发病的危险因素进行Logistic回归分析。结果根据罗马Ⅳ标准,高职院校新生的IBS总患病率为2.70%,其中男生IBS患病率为1.69%;女生IBS患病率为3.00%。男女生IBS患病率比较差异无统计学意义(P>0.05),不同民族新生IBS患病率比较差异无统计学意义(P>0.05)。单因素分析结果显示,高职院校健康新生饮酒、受凉、乳制品摄入、劳累、情绪不佳、精神刺激等情况与新生IBS患者比较,差异有统计学意义(P<0.05)。多因素Logistic回归分析显示,乳制品摄入、精神刺激是高职院校新生IBS发病的独立危险因素(P<0.05)。结论进食乳制品及精神刺激是高职院校新生IBS发病的独立危险因素。学生普遍面临着较大学业压力,比较容易发生IBS,加强对他们进行健康教育,对提高他们的就诊意识,找到并祛除发病诱因,从而降低发病率,提高生活质量具有非常重要的意义。

Objective To explore the prevalence situation and risk factors for irritable bowel syndrome(IBS)of students in higher vocational colleges.Methods The cluster sampling method was performed to select 2626 freshmen from a higher vocational college in Guangxi Zhuang Autonomous Region.The students were diagnosed using the Rome IV standard questionnaire to understand the prevalence situation of students with IBS.Logistic regression analysis was performed on risk factors for the prevalence of IBS.Results According to the Rome IV standard,the total prevalence of freshmen with IBS in higher vocational college was 2.70%,of which the prevalence of IBS in boys was 1.69%,whereas the prevalence of IBS in girls was 3.00%.There was no statistically significant difference in the prevalence of IBS between students with different genders(P>0.05).There was also no statistically significant difference in the prevalence of IBS between different ethnic freshmen(P>0.05).Univariate analysis revealed that there was statistically significant difference of comparison between the situation of alcohol consumption in healthy freshmen,a cold catch,dairy intake,fatigue,poor mood and mental stimulation etc.,and freshmen patients with IBS(P<0.05).Multivariate logistic regression analysis exhibited that dairy intake and mental stimulation were independent risk factors for the prevalence of freshmen with IBS in higher vocational college(P<0.05).Conclusion Diary product consumption and mental stimulation are independent risk factors for the prevalence of freshmen with IBS in higher vocational college.Students face a great academic pressure generally,which increase the prevalence of IBS.It is of great significance to strengthen education of students and awareness of visiting doctors when necessary,find and eliminate the causes of the disease,and thus reduce the prevalence and improve life quality.