海军部队人员功能性消化不良及影响因素  

Research on functional dyspepsia prevalence and related factors of naval

作　　者：崔立红[1] 闫志辉[1] 彭丽华[1] 于兰[1] 杨云生[1] 

机构地区：[1]解放军总医院消化内科,北京100853

出　　处：《中华劳动卫生职业病杂志》2013年第5期361-365,共5页Chinese Journal of Industrial Hygiene and Occupational Diseases

基　　金：海军后勤科研计划课题（BHJ09JDl2）

摘　　要：目的探讨海军部队人员功能性消化不良患病情况及相关影响因素。方法采用分层随机整群抽样方法，对海军部队11520人进行问卷调查，参照《中国消化不良诊治指南》（2007年版）及《罗马Ⅲ分类及诊断标准》进行功能性消化不良诊断，并对临床因素进行危险度分析；采用单样本随机抽样方法，对抽取的100例患者进行临床症状评分与危险因素的相关性分析。结果海军部队人员功能性消化不良患病率为29．27％（3084／10537），Logistic回归分析显示工作因素中军龄、军衔、工作性质、训练强度、作训环境因素的OR值分别为10．308、6．288、22．504、26．720、9．825，P值分别为O．028、0．023、0．000、0．000、0．014；生活因素中每日饮水量、进食水果频率、睡眠时间、辛辣饮食习惯、饮酒史因素（OR值分别为28．467、20．335、11．358、10．249、9．578，P值分别为0．000、0．012、0．025、0．017、0．027），心理因素中抑郁、焦虑情绪因素（OR值分别为16．878、18．025，P值分别为0．024、0．019）一般情况中年龄、性别、民族、BMI指数、消化道疾病史、药物史（OR值分别为3．406，、7．511、2．643、42．073、88．457、21．680，P值分别为0．042、0．033、0．417、0．000、0．000、0．012），均为筛选得到临床危险因素。随机抽取100例患者样本临床症状评分与工作、生活因素评分及焦虑白测量表（SAS）、抑郁自测量表（SDS）评分呈正相关，其中r=0．816、0．763、O．795、0．923，P=0．000。结论海军部队功能性消化不良患病率高于一般人群，与部队人员军龄、军衔、工作性质、训练强度和环境、饮食习惯、每日睡眠时间、饮酒史、抑郁、焦虑情绪程度、年龄、性别、BMI指数、消化道疾病史、药物使用史相关。应高度重视上述危险因素，制定合理针对性方案，加强病因防治措施。Objective To analyze functional dyspepsia prevalence and associated factors of naval forces. Method By stratified random cluster sampling method, conducted a questionnaire survey and diagnosis of functional dyspepsia to I 1 520 military sea forces, and analyzed risk in clinical factors.Large sample size of 3084 cases in the diagnosis of functional dyspepsia, analyzed correlation of the selected 100 patients by single sample random sampling method. Result Naval forces, functional dyspepsia prevalence was 29.27% （3084/10537）, and logistic regression analysis showed that job factors of military service, military rank, the nature of the work, the training intensity, training environmental P=0.028, 0,023, 0.000, 0.000, 0.014, 0R=10.308, 6.288, 22.504, 26.720, 9.825; life factors of daily water intake, eating fruits and frequency of sleep time, spicy eating habits, drinking history factors P=0.000, 0.012, 0.025, 0.017, 0.027, OR=28.467, 20.335, 11.358, 10.249, 9.578; psychological factors, depression, anxiety factor P= 0.024, 0.019, OR =16.878, 18.025;generally age, gender, ethnicity, BMI index, gastrointestinal history, history of drug, educational background, geographic factors P=0.042, 0.033, 0.417, 0.000, 0.000, 0.012, 0.392, 0.440, 0R=3.406, 7.511, 2.643, 42.073, 88.457, 21.680, 1.752, 5.561.When value of P〈0.05, clinical risk factors were screened. Clinical symptom scores and work, life factor score and SAS, SDS score of randomly selected patient samples was positively correlated, r=0.816,0.763,0.795,0.923, P=0.000, indicating statistically significant. Conclusion Naval forces functional dyspepsia prevalence was higher than the general population, which risk factors included work, life, psychological, physical fitness factors, closely related with military service and military personnel, military rank, the nature of the work, the training intensity and environment, eating habits, daily sleep time, drinking history, depression, anxiety level, age, gender, BMI index, history of gastrointestinal disease, use o

关 键 词：军事人员 功能性消化不良 患病率 危险因素 

分 类 号：R83[医药卫生—航空、航天与航海医学]