内科

目的了解广西基层医师对肠易激综合征（IBS）的知晓率情况并分析其影响因素。方法采取整群抽样方法，选择2013年到广西卫生职业技术学院全科医学中心参加培训的基层医师进行问卷调查，并对236份有效问卷的相关数据进行统计分析。结果广西基层医师对IBS的总体知晓率为55.5%，城市社区全科医师、乡村医师和“三支一扶”医务人员对IBS知晓率分别为82.5%、35.8%、37.9%，城市社区全科医师对IBS知晓程度明显高于乡村医师和“三支一扶”医务人员（P＜0.01）；整体基层医师对罗马Ⅲ标准及IBS报警症状的知晓率仅为19.9%及20.3%。基层医生对IBS知晓途径分别为：教科书（41.5%）、继续教育课程（25.4%）、学术讲座（14.4%）、医学杂志（8.9%）、消化专业会议（5.1%）和其他（4.7%）。结论不同类别的广西基层医师对IBS知晓率差异大，乡村医师对IBS认知不足，对罗马Ⅲ标准和IBS报警症状的知晓率低。建议加强对他们进行IBS相关知识的培训，以提高本地区医务人员对该病的诊治水平。

ObjectiveTo evaluate the awareness rate of irritable bowel syndrome (IBS) among primary doctors in Guangxi and analysis the influencing factors. MethodsBy cluster sampling method, questionnaire was conducted among the primary doctors who take part in continuing medical education in Guangxi Health Technical Vocational College in 2013, the data of 236 valid questionnaires were recorded for statistical analysis. ResultsThe awareness rate of IBS knowledge in all primary doctors was 55.5%, and 82.5% in city community general practitioners, 35.8% in rural doctors, 37.9% in medical graduates. The awareness rate of IBS was higher in city community general practitioners than that in rural doctors and medical graduates;the awareness rate of Rome III criteria and IBS alarm feature were only 19.9% and 20.3% respectively among all primary doctors. The main sources to get the knowledge about IBS were textbook (41.5%),continuing education courses(25.4%),the academic forum(14.4%), journal of medicine(8.9%),digestion of professional conference(5.1%)and others(4.7%). ConclusionsThere is a big difference between different categories of primary doctors in awareness rate of IBS in Guangxi, rural doctors are in short of understanding of IBS and lower awareness of Rome III criteria and IBS alarm feature. We should strengthen the training of knowledge about IBS and improve the treatment level of IBS among the medical staff in local area.