急进驻高原官兵胃肠应激反应患病率及饮食因素调查  

Survey of prevalence rate and food factors for gastrointestinal stress reaction in military officers and soldiers fleetly coming into high altitude areas

作　　者：李晓明[1] 赵秋玲[1] 杨全峰 李富军[3] 李兴亮 王慧霞 

机构地区：[1]兰州军区兰州总医院营养科 [2]68222部队卫生队 [3]兰州军区兰州总医院科训科 [4]青海省军区教导大队

出　　处：《第四军医大学学报》2008年第8期702-704,共3页Journal of the Fourth Military Medical University

基　　金：兰州军区医药卫生科研基金(LXH-2006028)

摘　　要：目的:了解急进驻高原官兵的胃肠应激反应的患病率和饮食危险因素,为制定饮食干预措施提供科学依据.方法:整群随机抽样抽取4d内从海拔1300m急进驻到海拔4500m的某野战部队官兵408人,采用问卷法,进行胃肠应激反应的患病率和饮食相关因素调查,应用非条件Logistic回归进行单因素和多因素分析.结果:高原胃肠反应患病率为22.81%,其中恶心呕吐者26.03%,腹胀者15.07%,便秘者8.22%,腹痛者13.70%,腹泻者23.29%,厌食者13.70%.疲乏、失眠、紧张、情绪差的官兵患病率较高.单因素Logistic回归分析表明进餐不规律(OR=2.648),某顿饭不吃(OR=1.82),暴饮暴食(OR=1.667),挑食(OR=1.727),厌食面条(OR=1.969)为危险因素.多因素Logistic回归分析表明进餐不规律(OR=2.129),挑食(OR=1.886)为危险因素.结论:精神状态和饮食因素在高原胃肠应激反应的发生和发展中起着一定作用.AIM： To investigate the prevalence rate and the food-related risk factors for gastrointestinal stress reaction in military officers and soldiers fleetly coming into high altitude areas. METHODS： By a cluster random sampling method, officers and soldiers of a field army at altitudes from 1300 m to 4500 m within 4 d were selected for questionnaire investigation on incidence rate and food-related factors responsible for gastrointestinal stress reaction. Unconditional logistic regression was used for univariate and multivariate analysis. RESULTS： The prevalence rate of gastrointestinal stress reaction at high altitude was 22.81%, and corresponding proportions of nausea, flatulence, constipation, bellyache, diarrhea, anorexia were 26.03%, 15.07%, 8. 22%, 13.70%, 23.29%, 13.70%, respectively. Sufferer from fatigue, insomnia, strain and melancholy mood were common with higher incidence of gastrointestinal disorders at high altitude areas. Univariate logistic regression analysis indicated that food risk factors included irregular meal （ OR = 2. 648 ）, lack of a meal （ OR = 1. 820 ）, excessive eating or drinking （ OR = 1. 667 ）, picky eating （OR = 1. 727 ） and disliking noodles （OR = 1. 969）. Multivariate logistic analysis revealed that food risk factors involved irregular meal （OR = 2. 129 ） and picky eating （ OR = 1. 886）. CONCLUSION： Mental pressure and food-related risk factors may induce, even aggravate gastrointestinal stress reaction at high altitude areas.

关 键 词：胃肠反应 应激 高海拔 患病率 心理压力 饮食因素 流行病学研究 

分 类 号：R594.3[医药卫生—内科学]