武警某部站岗执勤战士功能性胃肠疾病流行病学调查  

Epidemiological investigation of functional gastrointestinal diseases in armed police on stand guard and on duty

作　　者：薛美[1] 任永强[1] 王华[1] 陈向[1] 陈海英[1] 谢环英[1] 杨丽翠[1] 

机构地区：[1]武警北京总队第三医院重症医学科,100141

出　　处：《武警医学》2013年第5期393-395,共3页Medical Journal of the Chinese People's Armed Police Force

摘　　要：目的探讨武警某部站岗执勤战士功能性胃肠疾病(furnctional gastrointestinal disorders,FGIDs)的发病情况及相关因素,为制定相应的预防、治疗措施提供依据。方法根据FGIDs罗马Ⅲ分类及诊断标准设计问卷,对武警某部站岗执勤战士进行流行病学问卷调查。结果 (1)抽查战士520人,FGIDs总发病人数131人,总发病率为25.19%(131/520)。其中肠易激综合征发病率最高(13.27%),其他患病率依次为功能性消化不良(6.54%)、功能性便秘(5.58%)、功能性烧心(3.27%)、功能性腹胀(3.26%)、功能性腹痛综合征(3.08%)。慢性肛痛、胆囊及奥狄括约肌(sphincter of Oddi,SO)功能紊乱发病率较低,均不到1%;各大类FGIDs发病率中,排在前3类的依次为功能性肠病(23.26%)、功能性胃十二指肠疾病(18.85%)、功能性食管疾病(5.57%)。(2)在患有FGIDs的131例中,有睡眠障碍占52.67%,有心理障碍占46.56%,差异均有统计学意义(P<0.01);有不良饮食习惯占29%,高于非FGIDs的战士群体,但差异无统计学意义(P>0.05);军龄、血型、受教育水平、家族史及不同民族比较,差异无统计学意义(P>0.05)。(3)发病的131例中,有52例表现为两种或两种以上症状,即FGIDs的症状重叠率为39.7%(52/131)。结论武警某部站岗执勤战士的FGIDs总体发病率高于普通人群,睡眠、心理障碍等因素与FGIDs有关。Objective To investigate furnctional gastrointestinal diseases（FGIDs） in armed police on stand guard and on duty, the incidence and related factors, thereby taking appropriate prevention and treatment measures. Methods A questionnaire was designed according to FGIDs Rome III classification and diagnosis standard, for epidemiological survey of sentry duty soldiers in armed police forces. Results （1） Of 520 examined , the total number of patients with FGIDs was 131, the total incidence rate was 25.19% （131/520）. The prevalence of irritable bowel syndrome was the highest （13.27%）, others were functional dyspepsia （6.54%）, functional constipation （5.58%）, functional heartburn （3.27%）, functional abdominal distension （3.26%）, functional abdominal pain syndrome （3.08%）, chronic anal pain, gallbladder and Oddi,s sphincter dysfunction incidence is low, less than 1%; The FGIDs incidence ranking in the top three were functional bowel disorders （23.26%）, functional gastroduodenal diseases （18.85%）, and functional esophageal diseases （5.57%）. （2） Among 131 patients with FGIDs, those having sleep disorder accounted for 52.67%, psychological disorder accounted for 46.56%, compared with the non - FGIDs group, the differences were statistically significant （P〈0.01）; those having bad eating habits accounted for 29%, higher than the FGIDs fighter group, but the difference was not statistically significant （P〉0.05）. By comparison ,there were no significant differences in age, blood group, educational level, family history, and ethnic groups （P〉0.05）. （3） Of 131 patients, 52 developed two or more than two symptoms, overlapping rate of FGIDs symptoms was 39.7% （52/131）. Conclusions In armed police on stand guard and on duty, overall incidence of FGIDs is higher than that in general population. Sleep and mental disorders are associated with FGIDs.

关 键 词：站岗执勤 功能性胃肠疾病 流行病学 

分 类 号：R573[医药卫生—消化系统]