便失禁的流行率和相关因素:一项基于全球人口的研究
Tom van Gils1, Joost P Algera2, Jóhann P Hreinsson2
1Department of Molecular and Clinical Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
便失禁 (FI) 影响全球13.8%,北美的发病率更高. 相关因素包括肠道症状,疼痛和生活质量下降,表明需要更好的患者护理.
科学领域:
- 胃肠病学 胃肠病学
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 在全球范围内,便失禁 (FI) 的患病率可能被低估.
- 有一个显著的未满足的需要,以确定与FI相关的因素,以改善患者护理.
研究的目的:
- 为了确定便失禁 (FI) 的全球患病率.
- 确定与便失禁 (FI) 相关的因素.
主要方法:
- 利用了来自罗马基金会全球流行病学研究的数据,这是一项对26个国家的互联网调查.
- 评估了任何FI (在3个月内意外便泄漏) 和罗马IV FI的患病率.
- 使用罗马四号标准评估了其他肠道/直肠症状和FI之间的关联.
主要成果:
- 任何FI的患病率为13.8%,罗马IVFI为1.6%.
- 患病率因地区而异,从10.9% (东欧) 到19.7% (北美) 的任何FI.
- FI在男性,老年人和肥胖个体中更常见. 紧迫性,松散的便和疼痛与FI有很强的联系. FI对生活质量产生了负面影响.
结论:
- 便失禁 (FI) 是一个常见的全球性疾病,具有区域差异.
- 与疼痛和改变肠道习惯的强烈关联表明FI病理生理学中的便一致性和内脏过敏性变化.
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