陆军某部官兵非特异性功能性肠病临床特征分析  

Clinical features of unspecified functional bowel disorder in servicemen from a Chinese army unit

作　　者：姚欣[1] 王倩[1] 温贺军 孙蓉[1] 智佳[1] 曹鹏 刘颖 麻涛 王翠兰[1] 

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

出　　处：《解放军医学杂志》2017年第1期76-80,共5页Medical Journal of Chinese People's Liberation Army

摘　　要：目的调查陆军某部官兵非特异性功能性肠病(UFBDs)的临床表现、重叠功能性胃肠病(FGIDs)的特点及其与心理和睡眠的关系。方法应用FGIDs罗马Ⅲ调查问卷进行FGIDs的分类和诊断。将诊断为UFBDs的官兵189例列入UFBDs组,无FGIDs的官兵372例列入对照组。应用SCL-90量表测评心理因素,采用匹兹堡睡眠质量指数(PSQI)量表评价睡眠状况。结果 UFBDs的最常见症状是一有便意就要立刻上厕所,发生率高达93.7%,超过50%的UFBDs患者可见排便不净和排便费力。28%的UFBDs重叠FGIDs,重叠率最高的疾病为痉挛性肛门直肠疼痛(7.9%),其次为周期性呕吐综合征(6.3%)、功能性大便失禁(6.3%)、功能性消化不良(4.8%)和嗳气(4.8%)。UFBDs组SCL-90量表的10个因素评分及总分明显高于对照组(P<0.05),睡眠质量、入睡时间、睡眠障碍、日间功能障碍得分、PSQI总分及睡眠异常比例均明显高于对照组(P<0.05)。重叠FGIDs组与单一UFBDs组相比,除恐怖因素以外SCL-90其余9个因子评分及总分均明显升高(P<0.05),而PSQI各因子分、总分及睡眠异常比例差异无统计学意义(P>0.05)。结论 UFBDs的发病可能与精神、心理、睡眠因素密切相关,重叠FGIDs可伴随精神、心理问题加重。Objective To investigate clinical manifestation of unspecified functional bowel disorder（UFBD）, the features of coexistence with functional gastrointestinal disorder（FGID） and its relationship with psychological factors and sleep disturbance in the Chinese Army servicemen. Methods c FGIDs were diagnosed based on the Rome Ⅲ Modular Questionnaire. The subjects were 189 servicemen with UFBD（UFBD group） and 372 without FGID（control group）. All subjects completed symptom checklist 90（SCL-90） and Pittsburgh Sleep Quality Index（PSQI） questionnaire. Results ＇Have to rush to the toilet when having a desire to defecate＇ was the most frequent symptom of UFBD（93.7%）. More than one half of UFBD patients had the symptom ＇a feeling of incomplete emptying as bowel movements＇ or ＇straining during bowel movements＇. Twenty-eight percent of UFBD subjects had combined FGID（namely c FGID）. Among them, the most frequent was proctalgia fugax（7.9%）, followed by cyclic vomiting syndrome（6.3%）, functional fecal incontinence（6.3%）, functional dyspepsia（4.8%） and belching（4.8%）. The UFBD group scored significantly higher than the control group in the global severity index（GSI） and in all SCL-90 subscales（P〈0.05）. The scores of the four domains（sleep quality, sleep latency, sleep disturbance and daytime function disorder）, total PSQI score and proportion of poor sleeping quality were significantly higher in the UFBD group than in the control group（P〈0.05）. The subjects scored significantly higher in combined FGID group than in UFBD group in GSI and in all of SCL-90 subscales, except for phobic anxiety subscales（P〈0.05）. However, there was no significant difference in each domain, total PSQI and proportion of poor sleeping quality between the c FGID group and UFBD group（P〉0.05）. Conclusion Pathogenesis of UFBD may be closely correlated with psychiatric and psychological factors and sleep disturbance. c FGID are associated with an increased severit

关 键 词：非特异性功能性肠病 功能性胃肠病 军事人员 心理因素 

分 类 号：R573[医药卫生—消化系统] R574[医药卫生—内科学]