舰艇官兵功能性肠病患病现状及相关因素分析  

Incidence and related factors of functional bowel disease in submarine forces

作　　者：于海涛 王群英 任淑琴 李栋 李珍 赵琦 董文珠 Yu Haitao;Wang Qunying;Ren Shuqin;Li Dong;Li Zhen;Zhao Qi;Dong Wenzhu(Department of Gastroenterology,No.971 Hospital of Navy,Qingdao 266071,China)

机构地区：[1]海军第九七一医院消化内科,山东青岛266071

出　　处：《海军医学杂志》2025年第2期133-137,共5页Journal of Navy Medicine

基　　金：军队后勤科研新上项目(BHJ22C023)。

摘　　要：目的探讨某部舰艇官兵功能性肠病(FBD)的患病现状及其与抑郁、焦虑及睡眠情况的关系。方法对某部364名舰艇官兵的FBD患病情况进行问卷调查,按照功能性胃肠疾病罗马Ⅳ分类及诊断标准,对FBD相关患病因素进行比较分析,按照官兵工作岗位对FBD中的具体疾病发生率进行比较,并分析FBD官兵的抑郁、焦虑、睡眠情况。结果364名官兵中,按照罗马Ⅳ标准诊断为FBD的有132例,患病率为36.3%。身份类别和婚姻状态是FBD的影响因素。在不同的工作岗位中,海勤官兵与陆勤官兵FBD的总患病率比较差异无统计学意义(P>0.05),但海勤人员中功能性便秘的患病率明显高于陆勤人员,而陆勤人员中功能性腹泻的患病率高于海勤人员(均P<0.05)。FBD患者的抑郁状态、焦虑状态及睡眠障碍的发生率均高于非FBD患者。结论舰艇部队官兵FBD患病率较高,可能与患病官兵心理状态相关。Objective To investigate the incidence of functional bowel disease(FBD)and its relationship with depression,anxiety and sleep in navy submarine forces.Methods A questionnaire survey on the incidence of FBD was conducted on 364 naval soldiers who were enrolled according to RomeⅣclassification and diagnostic criteria.The risk factors of FBD were analyzed.The incidence of specific diseases of FBD was compared among soldiers with different jobs.The depression,anxiety,and sleep quality were investigated in FBD patients.Results In the 364 participants,132(36.3%)were diagnosed with FBD according to RomanⅣcriteria.Military rank and marital status might be risk factors for FBD.There was no significant difference in the overall incidence of FBD among the participants with various jobs(P>0.05).The incidence of functional constipation in the submariners was significantly higher than that in the land soldiers,while the incidence of functional diarrhea in the land soldiers was higher than that in the submariners(all P<0.05).The incidences of depression,anxiety and sleep disorder in the participants with FBD were higher than those in the participants without FBD.Conclusion There is a high incidence of FBD in submariners,which may be related to their psychological states.

关 键 词：功能性肠病 流行病学 舰艇部队 心理状态 

分 类 号：R823[医药卫生—临床医学]