空军周期性呕吐综合征流行病学研究  

Epidemiology of cyclic vomiting syndrome in air force

作　　者：吴丽丽[1] 郭旭[1] 彭丽华[1] 孙刚[1] 王巍峰[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：《解放军医学院学报》2013年第6期558-561,共4页Academic Journal of Chinese PLA Medical School

基　　金：军队"十一五"科技攻关重点项目(06G113)~~

摘　　要：目的探讨空军某部周期性呕吐综合征(cyclic vomiting syndrome,CVS)流行病学特点,并分析其相关危险因素。方法采取随机整群抽样方法,于2008年9月-2009年3月期间对5 800例空军现役军人进行随机抽样问卷调查。并对比空勤和地勤的流行病学差异。结果共纳入合格问卷4 988份,其中空勤818例(16.4%),地勤4 170例(83.6%),胃肠道症状总发生率为52.2%,空勤组症状总发生率为43.9%,地勤组症状总发生率为53.9%。空勤组常见的症状为腹胀(13.0%),嗳气(10.5%)和早饱(9.7%);地勤组常见症状分别是早饱(14.8%)、腹胀(14.7%)和恶心(14.7%)。前三位的患病率依次是:功能性腹胀(7.2%),功能性消化不良(6.9%)和CVS(5.1%)。空军总体CVS患病率为5.05%,其中空勤CVS患病率为3.42%,地勤CVS患病率为5.45%。空勤组和地勤组人员的婚姻状况、受教育程度、血型、年龄、军龄、体重指数(body mass index,BMI)及军衔的构成比不同或不全相同。结论空军总体CVS患病率为5.05%,其中地勤CVS患病率(5.45%)高于空勤CVS患病率(3.42%)。相同身体素质的情况下,年龄小、军龄短、军衔低和受教育程度低可能是患CVS的危险因素。Objective To study the epidemiology of cyclic vomiting syndrome （CVS） in a certain air force unit and analyze its risk factors. Methods The epidemiology of CVS in 5,800 air force servicemen was investigated with questionnaires from September 2008 to March 2009 by random sampling. The epidemiological difference in ground servicemen and air servicemen was compared. Results Of the 4,988 eligible questionnaires, 818 （16.4%） were returned from air servicemen and 4,170 （83.6%） from ground servicemen. The total incidence of gastrointestinal symptoms was 52.3% in air force servicemen, 43.9% in air servicemen and 53.9% in ground servicemen. The common symptoms were abdominal bloating （13.0%）, belching （10.5%） and early satiation （9.7%） in air servicemen and early satiation （14.8%）, abdominal bloating （14.7%）, nausea （14.7%） in ground servicemen. The top 3 diseases in air force servicemen were functional bloating （7.2%）, functional dyspepsia （6.9%） and CVS （5.1%）. The total incidence of CVS was 5.05% in air force servicemen, 3.42% in air servicemen and 5.45% in ground servicemen. The component ratios were different or incompletely different in marital status, education level, blood type, age, military service length, BMI, and ranks of air force servicemen. Conclusion The total incidence of CVS is 5.05% in air force servicemen, 5.45% in ground servicemen and 3.42% in air servicemen. Younger age, shorter military service length, lower rank and education level are the risk factors for CVS when the constitution of air force servicemen is similar.

关 键 词：空军 周期性呕吐综合征 流行病学 

分 类 号：R573[医药卫生—消化系统]