驻某岛礁官兵消化系统疾病及其影响因素分析  

Analysis of the composition and influencing factors of digestive diseases among the military personnel on a certain island

作　　者：于兰[1] 崔立红[1] Yu Lan;Cui Lihong(Department of Gastroenterology,Sixth Medical Centre of PLA General Hospital,Beijing 100048,China)

机构地区：[1]解放军总医院第六医学中心消化内科,北京100048

出　　处：《海军医学杂志》2023年第6期547-551,共5页Journal of Navy Medicine

摘　　要：目的探讨驻某岛礁官兵消化系统疾病的构成及其影响因素。方法应用胃肠道症状分级评分量表(gastroin⁃testinal symptom rating scale,GSRS)、焦虑/抑郁自评量表(self⁃rating anxiety/depression scale,SAS/SDS)对驻某岛礁480例官兵进行问卷调查,结合辅助检查(影像学检查、实验室检查)分析官兵消化道疾病的构成,并分析其影响因素。结果480例官兵中有消化道症状的为204例,发生率为42.50%。其中,腹部胀满不适52例(25.49%)、便秘及排便不适38例(18.63%)、打嗝嗳气32例(15.69%)、反酸烧心30例(14.71%)、腹痛28例(13.73%)、腹泻24例(11.76%)。经影像学检查和实验室检查后,204例有消化道症状的官兵诊断为以下疾病:功能性胃肠病[95例(46.57%)]、胃食管反流病[38例(18.63%)]、脂肪肝[30例(14.71%)]、糜烂性胃炎[27例(13.24%)]和消化性溃疡[14例(6.86%)]。功能性胃肠病、酸相关性疾病(胃食管反流病、糜烂性胃炎、消化性溃疡)的分布不存在年龄差异(P>0.05)。脂肪肝的发病率在>40岁年龄段的发病率高于其他年龄段(P<0.05)。伴有焦虑抑郁的官兵和无焦虑抑郁的官兵在年龄、体重指数(body mass index,BMI)、驻岛时间、吸烟方面比较,差异均无统计学意义(P>0.05),但伴有焦虑抑郁组官兵的消化道症状积分高于无焦虑抑郁组(P<0.05)。多因素Logistic回归分析提示,精神状态及驻岛时间是影响消化系统疾病发生的独立危险因素。结论驻某岛礁官兵消化道疾病发病率较高,多为功能性疾病及酸相关性疾病,精神状态和驻岛时间是消化系统疾病发生的独立危险因素,应及时干预。Objective To explore the composition and influencing factors of digestive diseases among the military personnel on a certain island.Methods A questionnaire survey was performed among the 480 the military personnel on a certain island by using the gastrointestinal symptom rating scale(GSRS)and the self⁃rating anxiety/depression scale(SAS/SDS).With the help of supplementary examinations(image and laboratory detection),the composition and influencing factors of digestive diseases among the military personnel were analyzed.Results Of the 480 people,204 had gastrointestinal symptoms,accounting for 42.50%.The main symptoms were abdominal distention and discomfort in 52 cases(25.49%),constipation and discomfort during bowel movement in 38 cases(18.63%),belching in 32 cases(15.69%),acid reflux and heartburn in 30 cases(14.71%),abdominal pain in 28 cases(13.73%)and diarrhea in 24 cases(11.76%).Following image and laboratory detection,204 patients with digestive symptoms were diagnosed to have the following diseases:95 cases of functional gastrointestinal diseases(46.57%),38 cases of gastroesophageal reflux diseases(18.63%),30 cases of fatty liver(14.71%),27 cases of erosive gastritis(13.24%)and 14 cases of peptic ulcer(6.86%).There were no signficant differences in the distribution of functional gastrointestinal diseases and acid⁃related diseases(P>0.05).The rate of fatty liver among the military persnonnel with an age>40 years was obviously higher than those of the other 2 groups(P<0.05).Significant differences could neither be seen in age,body mass index(BMI),service time and smoking among the patients with anxiety and depression and those without anxiety and depression(P>0.05).However,the scores of gastrointestinal symptoms in the anxiety and depression group were significantly higher than those in the non⁃anxiety and non⁃depression group(P<0.05).Multivariate Logistic regression analysis indicated that mental status and service time on the island were independent risk factors for the occurrence of digestive sys

关 键 词：功能性胃肠道疾病 胃食管反流 焦虑抑郁 

分 类 号：R573[医药卫生—消化系统]