子宫内膜异位症与更高的医疗保健利用率和上胃肠道症状有关
Madison Simons1, Michael Cline1, Ashley Gubbels2
1Department of Gastroenterology, Hepatology, and Nutrition, Digestive Disease Institute, Cleveland Clinic Foundation, Cleveland, Ohio.
概括
子宫内膜异位症显著增加了女性刺激性肠综合征 (IBS) 的风险. 这些情况同时发生会加剧疼痛并降低生活质量.
科学领域:
- 妇科 妇科 妇科 妇科
- 胃肠病学 胃肠病学
- 慢性炎症疾病 慢性炎症疾病
背景情况:
- 子宫内膜异位症影响10-15%的女性,导致腹腔骨疼痛,经期不良和经期不良.
- 胃肠道 (GI) 症状,如便秘和胀气,被多达90%的子宫内膜异位症妇女报告.
- 患有子宫内膜异位症的女性患上刺激性肠综合征 (IBS) 的风险是3-5倍.
研究的目的:
- 调查子宫内膜异位症和刺激性肠综合征 (IBS) 之间的关系.
- 了解子宫内膜异位症和IBS同时发生对疼痛感知和生活质量的影响.
主要方法:
- 文献审查和流行病学数据的分析.
- 对患有子宫内膜异位症,IBS和两种疾病的患者队列进行比较分析.
主要成果:
- 在患有子宫内膜异位症的女性中,IBS的发病率高达52%.
- 37%的IBS妇女也有子宫内膜异位症,超过了典型的子宫内膜异位症患病率.
- 患有这两种疾病的患者报告疼痛值较低,月经疼痛更严重.
结论:
- 子宫内膜异位症是发展IBS的一个重要危险因素.
- 子宫内膜异位症和IBS的结合加剧了疼痛,增加了医疗保健利用率,并降低了生活质量.
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