肠易激综合征与睡眠障碍相关性研究

目的分析肠易激综合征患者的睡眠质量,探讨IBS患者的睡眠特征。方法采用罗马Ⅲ标准诊断IBS,阿森斯睡眠障碍量表(Athens Insomnia Scale,AIS)进行自我评估,分析睡眠障碍与IBS之间的关系。对IBS患者(63例)及健康体检志愿者(51例)进行问卷调查。采用χ2检验和Spearman等级相关检验研究IBS与睡眠障碍的关系。结果睡眠障碍在IBS患者和体检者中的发生率分别为36.5%(23/63)和15.7%(8/51),IBS组存在睡眠障碍比例高于体检组,差异有统计学意义(P<0.05);IBS组AIS总均分高于体检组,有显著性差异(P<0.05)。进一步统计分析发现,IBS组女性、脑力劳动者、高学历和曾遭遇精神打击者发生IBS几率高,差异有统计学意义(P<0.05)。结论 IBS患者常存在睡眠障碍,尤其是女性、脑力劳动者、高学历和曾遭受精神打击者。IBS患者存在睡眠异常,主要表现在入睡时间、夜间苏醒和总睡眠质量3个因子和AIS总分异常。

Correlation between sleeping disturbance and irritable bowel syndrome

Objective To investigate the association of sleeping quality with prevalence of irritable bowel syndrome(IBS).Methods IBS was diagnosed according to Rome Ⅲ criteria,and Athens Insomnia Scale(ALS) was used for self-assessment.The relationship between sleeping quality and IBS was analyzed.Results The prevalence of insomnia was 36.5%(23/63) in IBS patients and 15.7%(8/51) in non-IBS group.The incidence of insomnia was significant higher in IBS group than that in non-IBS group(P<0.05).Among IBS patients,the incidence of insomnia was higher in females than that in males,and so it was with white-collar(P<0.05).Conclusion IBS patients have poor sleeping quality,especially in females or white-collar.Bad sleeping quality mainly concentrates on sleepless in night,sleeping time and sleeping quality.