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亚洲目前肠易激综合征的流行情况。

The current prevalence of irritable bowel syndrome in Asia.

机构信息

Division of Gastroenterology, Taipei Veterans General Hospital and National Yang-Ming University School of Medicine, Taipei, Taiwan.

出版信息

J Neurogastroenterol Motil. 2010 Oct;16(4):389-400. doi: 10.5056/jnm.2010.16.4.389. Epub 2010 Oct 30.

Abstract

Irritable bowel syndrome (IBS) has been one of the commonly presented gastrointestinal disorders. It is of interest how commonly it presents in the society. Western studies indicated that most population-based IBS prevalences range 10%-15%. It is believed that IBS is prevalent in both East and West countries without a significant prevalence difference. Most recently, the Asia IBS prevalence has a higher trend in the affluent cities compared to South Asia. Since many Asia IBS prevalence studies have been published in the recent decade, we could compare the IBS prevalence data divided by various criteria in looking whether they were also comparable to this of West community. Summarized together, most Asia community IBS prevalences based on various criteria are usually within the range 1%-10% and are apparently lower than these of selected populations. Within the same population, the prevalence orders are first higher based on Manning criteria, then followed by Rome I criteria and finally reported in Rome II criteria. Overall, the median value of Asia IBS prevalences defined by various criteria ranges 6.5%-10.1%. With regard to gender difference, female predominance is usually found but not uniquely existed. For the IBS subtypes, the proportions of diarrhea predominant-IBS distribute widely from 0.8% to 74.0%, while constipation predominant-IBS proportion ranges 12%-77%. In conclusions, current Asia IBS prevalence is at least equal to the Western countries. Female predominant prevalence in Asia is common but not uniquely existed, while the proportions of IBS subtypes are too variable to find a rule.

摘要

肠易激综合征(IBS)是最常见的胃肠道疾病之一。其在人群中的发病率如何是人们关注的问题。西方研究表明,大多数基于人群的 IBS 患病率在 10%-15%之间。据信,IBS 在东西方国家都很普遍,且没有明显的患病率差异。最近,与南亚相比,富裕城市的亚洲 IBS 患病率呈上升趋势。由于最近十年发表了许多亚洲 IBS 患病率研究,我们可以根据不同标准比较 IBS 患病率数据,以了解它们是否与西方社区的患病率数据具有可比性。总的来说,大多数基于不同标准的亚洲人群 IBS 患病率通常在 1%-10%范围内,明显低于某些特定人群的患病率。在同一人群中,按照 Manning 标准、Rome I 标准和 Rome II 标准的患病率顺序依次升高。总体而言,各种标准定义的亚洲 IBS 患病率的中位数范围为 6.5%-10.1%。关于性别差异,通常发现女性占优势,但并非唯一存在。对于 IBS 亚型,腹泻为主型 IBS 的比例从 0.8%到 74.0%不等,而便秘为主型 IBS 的比例在 12%-77%之间。总之,目前亚洲 IBS 的患病率至少与西方国家相当。亚洲女性占优势的患病率较为常见,但并非唯一存在,而 IBS 亚型的比例变化太大,无法找到规律。

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