医学学生患有刺激性肠综合征的流行:系统性审查和元分析
Jhosmer Ballena-Caicedo1, Fiorella E Zuzunaga-Montoya2, Lupita Ana Maria Valladolid-Sandoval1
1Facultad de Medicina (FAMED), Universidad Nacional Toribio Rodríguez de Mendoza de Amazonas (UNTRM), Chachapoyas, Peru.
刺激性肠综合征 (IBS) 影响了大量的医学学生,其患病率因诊断标准和采样方法而异. 地方因素,而不是广泛的类别,似乎是最有影响力的.
科学领域:
- 胃肠病学 胃肠病学
- 医学教育 医学教育
- 流行病学 流行病学
背景情况:
- 刺激性肠综合征 (IBS) 在大学人群中普遍存在,特别是医学学生.
- 这种患病率引发了人们对其对学生健康和学业成绩的影响的担忧.
研究的目的:
- 系统地审查和元分析医学学生中IBS的流行情况.
- 确定影响该人口群体内IBS患病率的因素.
主要方法:
- 在主要数据库 (PubMed,Scopus,Web of Science,Embase) 进行了详尽的文献搜索.
- 进行了元分析,灵敏度分析和元回归.
- 包括的研究使用了罗马III和罗马IV标准来诊断IBS.
主要成果:
- 分析了43项涉及超过19,000名医学学生的研究.
- 使用罗马三项标准,IBS患病率为22.54%,使用罗马四项标准,患病率为16.75%.
- 根据采样方法,性别和地理区域,患病率存在显著差异,在所有子组中观察到高异质性.
结论:
- 在医学学生中,IBS显著流行,具有相当大的变异性.
- 方法因素 (诊断标准,抽样) 和人口特征 (性别,地区) 驱动这种变化.
- 标准化诊断标准,概率抽样和有针对性的干预措施被推用于学术环境.
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