【摘要】 目的 探讨肠易激综合征(IBS)患者症状、生存质量与性别的关系。方法 将500例IBS患者按性别分为两组，采用症状发生频数指标对所有患者进行肠内症状和肠外症状评估。患者生存质量采用世界卫生组织推荐的SF-36量表，对患者的一般健康状况、生理机能、生理职能、情感职能、社会功能、精神健康、躯体疼痛以及精力等8个方面进行评估，并将原始得分按SF-36操作手册换算成0～100之间对应的数值。所有结果行χ2检验。结果 女性在一般健康状况、生理机能、生理职能、情感职能、社会功能、精神健康、躯体疼痛以及精力等8个方面均显著低于男性(P<0.01)。结论 IBS患者的症状和生存质量与性别有关。

    【关键词】 肠易激综合征；症状；生存质量；性别

    The relationship between the symptom and the health-related quality of life and gender with irritable bowel syndrome

    KONG Ling-wei,CAO Qin.

    Putuo Hospital Affiliated to Shanghai TCM University,Shanghai 200062,China

    【Abstract】 Objective To explore the relationship between the symptoms and HRQOL and gender with irritable bowel syndrome.Methods 500 patients with irritable bowel syndrome were divided into 2 groups according to gender, and were explored the symptoms of bowel and outside bowel by the frequency of symptoms. The impact of IBS on HRQOL was evaluated using the Chinese version of SF-36 Survey. General health, physical functioning, role-physical, role-emotional, social functioning, mental health, body pain and vitality were evaluated and the scores were translated into numeric value of 1-100 accordingly. The statistical method was used χ2 test.Results The female patients were significantly poorer HRQOL than the male patients(P<0.01).Conclusion The symptoms and the HRQOL were related to gender in irritable bowel syndrome patients. ......