摘要
背景:肠易激综合征(IBS)是一种常见的功能性胃肠病(FGIDs),可降低患者的生活质量,并对精神心理产生一定影响。目的:探讨IBS和IBS重叠其他FGIDs患者的睡眠障碍和精神心理异常状况,并初步分析睡眠障碍发生的危险因素。方法:对2014年1月—2014年12月天津市6家医院就诊的FGIDs患者进行问卷调查,采用匹兹堡睡眠质量指数量表(PSQI)评估睡眠质量,焦虑自评量表(SAS)和抑郁自评量表(SDS)分别评估焦虑、抑郁状况,二分类Logistic回归分析法初步探讨IBS重叠其他FGIDs患者睡眠障碍的影响因素。结果:共1 117例FGIDs患者完成问卷,其中单纯IBS患者32例(2.9%),IBS重叠其他FGIDs患者113例(10.1%)。IBS组睡眠障碍、精神心理异常以及两者同时存在的比例分别为59.4%、93.8%和59.4%,IBS重叠组分别为82.3%、95.6%和78.8%。性别、年龄和症状严重程度可能是IBS重叠组睡眠障碍的危险因素(P=0.014,P=0.049,P=0.025)。结论:IBS和IBS重叠患者均伴有不同程度的睡眠障碍和(或)精神心理异常,性别、年龄和症状严重程度可能是IBS重叠组患者睡眠障碍的危险因素。
Background:Irritable bowel syndrome(IBS)is a commonly seen functional gastrointestinal disorders(FGIDs),and can reduce the quality of life and has some effects on patients’psychology.Aims:To investigate the disorder of sleep and psychological status in patients with IBS and IBS overlapping other FGIDs,and to analyze their risk factors.Methods:Questionnaires were conducted among FGIDs patients from January 2014 to December 2014 in 6 hospitals at Tianjin.Pittsburgh sleep quality index(PSQI)was used to assess sleep quality,anxiety and depression were assessed by self-rating anxiety scale(SAS)and self-rating depression scale(SDS),respectively.Two-factor Logistic regression analysis was used to analyze the risk factors of sleep disorder in patients with IBS overlapping other FGIDs.Results:A total of 1 117 patients with FGIDs completed the questionnaires,including 32 IBS patients(2.9%)and 113 patients(10.1%)with IBS overlapping other FGIDs.The percentages of sleep disorder,psychological disorder,and combination of the two were 59.4%,93.8%and 59.4%in IBS group,respectively;and 82.3%,95.6%and 78.8%in IBS overlapping other FGIDs group,respectively.Gender,age and severity of symptoms were the risk factors of sleep disorder in patients with IBS overlapping other FGIDs(P=0.014,P=0.049,P=0.025).Conclusions:Both IBS patients and IBS overlapping other FGIDs patients are associated with varying degrees of sleep disorder and/or psychological disorder.Gender,age and severity of symptoms may be the risk factors of sleep disorder in IBS overlapping other FGIDs patients.
作者
王彬
赵威
许梦雀
华建平
张秋瓒
刘艳迪
王东旭
唐艳萍
王邦茂
WANG Bin;ZHAO Wei;XU Mengque;HUA Jianping;ZHANG Qiuzan;LIU Yandi;WANG Dongxu;TANG Yanping;WANG Bangmao(Department of Gastroenterology and Hepatology,Tianjin Medical University General Hospital,Tianjin,300052;Department of Gastroenterology,Sir Run Run Shaw Hospital,Zhejiang University School of Medicine,Hangzhou;Department of Gastroenterology,Tianjin First Center Hospital,Tianjin;Department of Gastroenterology,Tianjin 4th Centre Hospital,Tianjin;Department of Gastroenterology,Tianjin Union Medical Center,Tianjin;Department of Gastroenterology,the 254 th Hospital of the People’s Liberation Army,Tianjin;Department of Gastroenterology,Tianjin Hospital ITCWN Nankai Hospital,Tianjin)
出处
《胃肠病学》
2018年第3期161-165,共5页
Chinese Journal of Gastroenterology
基金
国家自然科学基金(81370492)
国家自然基金青年项目(81600425)
关键词
肠易激综合征
睡眠障碍
精神障碍
问卷调查
Irritable Bowel Syndrome
Sleep Disorders
Mental Disorders
Questionnaires
