北京军区某部官兵胃食管反流病流行病学调查  

Epidemiological Survey of Gastroesophageal Reflux Disease in Officers and Soldiers in One Unit of Beijing Military Area Command

作　　者：姚欣[1] 冯子坛[1] 孙蓉[1] 高连勇 曹鹏 麻涛 王翠兰[1] 冯佳[1] 

机构地区：[1]解放军白求恩国际和平医院消化内科 [2]66010部队卫生队

出　　处：《解放军医药杂志》2013年第10期103-106,共4页Medical & Pharmaceutical Journal of Chinese People’s Liberation Army

摘　　要：目的研究北京军区某部官兵胃食管反流病(gastroesophageal reflux disease,GERD)患病率、诱因、食管外表现及相关危险因素。方法采用整群分层随机抽样方法,对北京军区某部官兵进行问卷调查。调查内容包括一般情况、中文版GERD诊断问卷(RDQ)、伴随症状、饮食及生活习惯等项目。以RDQ评分≥12分作为GERD的诊断标准,GERD相关危险因素采用Logistic回归分析。结果 990例调查对象中,GERD患病率为3.53%。GERD常见的诱因为进食辛辣、油腻食物、体力劳动、吸烟、喝酸性饮料、进食过饱、饮酒、精神紧张、生气、劳累、吃甜食。35例GERD官兵中18例并发慢性咽炎,并发牙病和慢性咳嗽各13例,并发口腔溃疡和喉炎各12例。Logistic回归分析提示便秘和饮食过饱是罹患GERD的危险因素。结论北京军区某部官兵GERD患病率与我国普通人群相似。在对GERD患病官兵治疗的同时,应注意防范诱因,关注伴随的食管外症状。对于便秘和有进食过饱习惯的官兵,应注意改变饮食、生活习惯,积极预防GERD的发生。Objective To investigate the prevalence rate, inducement, extraoesophageal manifestations and risk factors of gastroesophageal reflux disease （GERD） of officers and soldiers in one unit of Beijing Military Area Command. Methods An questionnaires survey was carried out in one unit of Beijing Military Area Command by stratified random sampling method. The questionnaire included demographic information, reflux disease questionaire （RDQ） in Chinese, concomitant symptom, dietary and living habits. The RDQ score I〉 12 was as diagnostic criteria of GERD, and relevant risk factors were analyzed by logistic regression model. Results A total of 990 soldiers were enrolled in the survey, and the prevalence rate of GERD was 3.53%. The common causative factors of GERD were eating spicy and oily food, hard manual work, smoking, drinking acidic beverage, overeating, alcohol drinking, mental stress, anxiety, fatigue and eat- ing sweet food. Among 35 officers and soldiers with GERD, 18 patients suffered from chronic pharyngitis, 13 patients with tooth disorders, 13 patients with chronic cough, 12 patients with oral ulcer and 12 patients with laryngitis. Logistic regression analysis indicated that constipation and overeating were risk factors of induced GERD. Conclusion The prev- alence rate of GERD in officers and soldiers in one unit of Beijing Military Area Command is similar to that in Chinese general population. During the therapy of soldiers with GERD, the causative factors and the concomitant extraoesophageal manifestations of GERD should be given more attention. Soldiers with habits of constipation and overeating need to change the dietary and living habit to prevent GERD.

关 键 词：胃食管反流 流行病学 军事人员 食管外疾病 

分 类 号：R573.7[医药卫生—消化系统]