规培医生肠易激综合征患病情况调查及危险因素分析

Investigation of the prevalence situation and risk factors for irritable bowel syndrome of the residents receiving standardized training

目的 探讨规培医生肠易激综合征(IBS)患病情况及危险因素。方法 以罗马Ⅳ标准为基础制定问卷调查表,选取306名华北理工大学附属医院规培医生进行问卷调查,了解IBS患病情况,并对危险因素进行分析。结果 规培医生IBS总体患病率为18.6%。女性患病率显著高于男性(22.7%vs 11.1%),差异有统计学意义(P<0.05)。不同年级IBS患病率不同,一年级患病率18.6%,二年级患病率10.3%,三年级患病率26.2%,差异有统计学意义(P<0.05)。单因素分析显示饮酒、进食辛辣刺激食物、运动、每周工作时间、焦虑、失眠是规培医生IBS患病的影响因素。多因素Logistic回归分析显示饮酒、经常进食辛辣刺激食物、少运动、每周工作时间≥55小时、焦虑是规培医生IBS发病的独立危险因素(P<0.05)。结论 规培医生IBS总体患病率较高,女性患病率高于男性,三年级患病率较高,饮酒、经常进食辛辣刺激食物、少运动、每周工作时间≥55小时、焦虑是IBS发病的独立危险因素,应积极采取干预措施,降低规培医生IBS患病率,提高生活质量。

Objective To investigate the prevalence situation and risk factors for irritable bowel syndrome(IBS)of the residents receiving standardized training.Methods A questionnaire was developed based on RomeⅣStandard of IBS,and 306 residents receiving standardized training in the Affiliated Hospital of North China University of Science and Technology were selected for questionnaire survey,to understand the prevalence situation and analyze risk factors of IBS.Results The overall prevalence of IBS in the residents receiving standardized training is 18.6%.The prevalence of females was significantly higher than that of males(22.7%vs 11.1%),the difference was statistically significant(P<0.05).The prevalence of IBS was different in different grades:18.6%in grade one,10.3%in grade two and 26.2%in grade three,the difference was statistically significant(P<0.05).The univariate analysis revealed that drinking,eating spicy stimulating food,exercise,weekly working hours,anxiety and insomnia were the influencing factors of IBS.Multivariate logistic regression analysis showed that drinking,frequently eating spicy stimulating food,lack of exercise,working hours≥55 hours per week,and anxiety were independent risk factors of IBS among the residents receiving standardized training(P<0.05).Conclusion The overall prevalence of IBS among the residents receiving standardized training is higher.The prevalence of IBS in females is significantly higher than that in males.The prevalence is higher in grade three.Drinking,frequently eating spicy stimulating food,lack of exercise,working hours≥55 hours per week,and anxiety are independent risk factors for IBS among the residents receiving standardized training.Active intervention measures should be taken to reduce the prevalence of IBS and improve the quality of life of the residents receiving standardized training.