在种族和种族多样化的人口中,刺激性肠综合征的并发症
Christina Lee1, Supriya Rao2, Howard J Cabral3
1Hospital Medicine, Beth Israel Deaconess Medical Center, Boston, MA 02215, USA.
Journal of clinical medicine
|April 9, 2024
概括
这项研究发现,常见的刺激性肠综合征 (IBS) 共同疾病的流行率存在显著的种族和民族差异,包括GERD,抑郁症和DMT2. 这些发现凸显了不同人群对IBS护理的差异.
科学领域:
- 胃肠病学 胃肠病学
- 内部医学 内部医学
- 公共卫生 公共卫生
背景情况:
- 刺激性肠综合征 (IBS) 是一种肠-大脑相互作用 (DGBI) 的障碍,经常与损害生活质量的并发症有关.
- 目前对跨种族和种族群体的IBS并发症的研究有限,需要进一步调查.
研究的目的:
- 为了确定多种族/种族IBS队列中并发症的患病率.
- 为了确定IBS群体内的各种种族和种族群体之间的并发症率的潜在差异.
主要方法:
- 一项回顾性研究分析了波士顿医疗中心740名门诊患者的数据,他们接受了ICD-9编码的IBS诊断.
- 从电子健康记录中提取了人口统计信息和ICD-9编码的并发症.
- 描述性统计和多重物流回归被用于数据分析.
主要成果:
- 最常见的并发症是胃食道逆流症 (GERD) (30%),抑郁症 (27%),焦虑症 (23%),COPD/喘 (16%) 和肥胖症 (10%).
- 在西班牙裔和黑人中,GERD更为普遍,而非性消化不良 (NUD) 在黑人和亚洲人中更为普遍.
- 在黑人和西班牙裔个人中观察到更高的2型糖尿病 (DMT2) 和抑郁症. 某些癌症的发生率比预期高出五倍.
结论:
- 在IBS并发症的患病率上存在显著的种族和种族差异,包括抑郁症,DMT2,GERD和NUD.
- 该研究发现,与一般人群相比,这种IBS队列中特定癌症的发病率更高.
- 这些发现强调了需要文化敏感的方法来管理IBS及其相关条件.
相关概念视频
Irritable Bowel Syndrome I: Introduction
272
Irritable Bowel Syndrome (IBS) is characterized by functional disturbances in the gastrointestinal system, presenting a cluster of symptoms without evident structural or biochemical abnormalities. It primarily affects the large intestine and may cause abdominal pain, bloating, excessive gas, diarrhea, constipation, or both.
IBS is a chronic condition that can persist over a long period or recur frequently.
The pathogenesis of IBS involves a complex interplay of the following factors:
Altered...
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