基于罗马Ⅳ诊断标准的某岛官兵功能性胃肠疾病患病率调查  

Prevalence of functional gastrointestinal disorders among soldiers stationed on islands based on Rome Ⅳ diagnostic criteria

作　　者：刘牧云 王丹 侍巧云 孙畅 Liu Muyun;Wang Dan;Shi Qiaoyun;Sun Chang(Department of Gastroenterology,No.905 Hospital of Navy,Shanghai 200050,China)

机构地区：[1]海军第九〇五医院消化内科,上海200050 [2]海军第九〇五医院老年病学科,上海200050 [3]海军军医大学第一附属医院消化内科

出　　处：《海军医学杂志》2025年第2期122-126,共5页Journal of Navy Medicine

基　　金：“青苗工程”人才培养计划:首批海军优秀青年科技人才重点扶持对象(海[2024]-177);海军军医大学“启航”军事人才计划(2019-QH-28);海军军医大学第一附属医院“234学科攀峰计划”(2020YXK014)。

摘　　要：目的基于罗马Ⅳ诊断标准对某岛官兵功能性胃肠疾病(FGID)患病情况进行调查,以期明确海岛特殊条件下FGID的患病率、具体分型及其与官兵年龄及心理状态的关系。方法依托基于罗马Ⅳ诊断标准构建的FGID问卷调查平台管理系统于2022年9—11月进行FGID患病情况调查并完成统计学分析。结果共纳入某岛官兵397名,其消化道症状中出现比例最高的依次为腹泻、嗳气、便秘。共147名(37.0%)符合FGID罗马Ⅳ诊断,其中患病比例最高的为功能性腹泻、上腹痛综合征及餐后不适综合征。在FGID各类诊断中,癔球症、功能性胸痛以及嗳气症患病率在不同年龄段中比较差异有统计学意义(均P<0.001)。抑郁自评量表(SDS)评分无异常的324名受试者中,61.4%(199/324)不符合FGID诊断,SDS评分53~62分的71名受试者中,71.8%(51/71)不符合FGID诊断,SDS评分63~72分的2名受试者均符合FGID诊断。结论驻岛官兵FGID中功能性腹泻最为常见。FGID总体患病率与受试者年龄无关。在今后的海岛卫勤保障资源调配中,需加强针对性药物及心理支持治疗资源的保障。Objective To investigate the prevalence of functional gastrointestinal disorders(FGID)in soldiers stationed on an island based on the Rome Ⅳ diagnostic criteria,so as to clarify the incidence and types of FGID and their correlations with the age and psychological status of soldiers.Methods The prevalence of FGID was investigated from September to November 2022 by FGID Questionnaire Survey Platform Management System based on the Rome Ⅳ diagnostic criteria.Results A total of 397 soldiers stationed on an island were enrolled in this study.The most common digestive symptoms were diarrhea,belching and constipation.A total of 147 people(37.0%)met the Rome Ⅳ diagnosis of FGID,and common diseases were functional diarrhea,epigastric pain syndrome and postprandial discomfort syndrome.Among the various diagnoses of FGID,the prevalence rates of globus hystericus,functional chest pain and belching syndrome showed statistically significant differences across different age groups(all P<0.001).Among the 324 subjects with no abnormal SDS scores,61.4%(199/324)did not meet the diagnosis of FGID.Among the 71 subjects with SDS scores ranging from 53 to 62,71.8%(51/71)did not meet the diagnosis of FGID.All subjects with SDS scores ranging from 63 to 72 met the diagnosis of FGID.Conclusion Functional diarrhea is the most common disease of FGID among soldiers stationed on the island.The overall prevalence of FGID is not related to the age of the subjects.Relevant drugs and psychological support treatment should be strengthened in the future allocation of health service resources on islands.

关 键 词：海岛 功能性胃肠疾病 心理 军事卫勤保障 

分 类 号：R57[医药卫生—消化系统]