高原高寒地区官兵便秘相关性内痔的发生风险:低膳食纤维摄入的影响  

Risk of occurrence of constipation-related internal haemorrhoids in officers and soldiers in high-altitude and cold regions:effects of low dietary fibre intake

作　　者：轩宗香[1] 赵亚丽[1] 张伟 秦琼[1] 李益智 洪夏芸 秦丽蓉 宋枫[1] XUAN Zong-xiang;ZHAO Ya-li;ZHANG Wei;QIN Qiong;LI Yi-zhi;HONG Xia-yun;QIN Li-rong;SONG Feng(No.944th Hospital of Joint Logistics Support Force of the Chinese People's Liberation Army,Jiuquan 735000,Gansu,China;Research Institute of General Surgery,General Hospital of Eastern Theater Command,PLA,Nanjing 210002,Jiangsu,China)

机构地区：[1]中国人民解放军联勤保障部队第九四四医院,甘肃酒泉735000 [2]中国人民解放军东部战区总医院全军普通外科研究所,江苏南京210002

出　　处：《肠外与肠内营养》2024年第6期364-369,共6页Parenteral & Enteral Nutrition

摘　　要：目的:探索高原高寒地区官兵便秘相关性内痔的发生风险与低膳食纤维摄入之间的关系。方法:采用问卷形式对高原高寒地区官兵便秘和内痔的发生情况进行调查研究,分析便秘相关性内痔发生的风险因素,并对低膳食纤维摄入与便秘、内痔的关系进行相关分析。结果:在607名官兵中,有75例(12.4%)便秘,有89例(14.7%)内痔。在内痔的病例中,便秘相关的内痔62例(69.7%),便秘无关的内痔27例(20.3%)。便秘相关的内痔的疼痛评分和治愈时间均显著高于便秘无关的内痔(P<0.01)。多因素Logistic回归分析显示:低膳食纤维摄入(OR值为161.987)是便秘相关的内痔发生的高风险性因素。双变量相关分析结果显示:低膳食纤维摄入与内痔之间存在显著的负相关(r=-0.635)。在考虑便秘的影响后,偏相关分析结果显示:低膳食纤维摄入与内痔之间无显著相关性(P>0.05)。结论:低膳食纤维摄入是高原高寒地区官兵便秘相关的内痔发生的高风险因素,其主要是通过引发便秘来间接增加内痔的发病风险。Objective:To investigate the association between the risk of constipation-related internal haemorrhoids and low dietary fibre intake in officers and soldiers living in cold regions at high altitude.Methods:A questionnaire survey was conducted to investigate the incidence of constipation and internal haemorrhoids among officers and soldiers in high altitude and cold regions.Risk factors for constipation-associated internal hemorrhoids were analyzed,and the relationship between low dietary fibre intake,constipation,and internal hemorrhoids was assessed by correlation analysis.Results:Among 607 military personnel,75 cases(12.4%)of constipation and 89 cases(14.7%)of internal hemorrhoids were reported.Of the internal hemorrhoids,62 cases(69.7%)were constipation-related internal hemorrhoids,while 27 cases(20.3%)were internal hemorrhoids unrelated to constipation.The pain scores and healing time of constipation-associated internal hemorrhoids were significantly higher than for non-constipation-related internal haemorrhoids(P<0.01).Multivariate logistic regression analysis showed that low dietary fibre intake(OR value=161.987)was a high-risk factor for the occurrence of constipation-associated internal hemorrhoids.The results of the bivariate correlation analysis showed a significant negative correlation between low dietary fiber intake and internal hemorrhoids(r=-0.635).After adjusting for the effect of constipation,partial correlation analysis showed no significant association between low fibre intake and internal haemorrhoids(P>0.05).Conclusion:Low fibre intake is a high risk factor for the development of constipation-related internal haemorrhoids in officers and soldiers living at high altitude and in cold climates,which mainly increases the risk of internal haemorrhoids indirectly through the development of constipation.

关 键 词：便秘 内痔 高原高寒地区 低膳食纤维摄入 风险性因素 

分 类 号：R442.2[医药卫生—诊断学]