[海军功能性消化不良患病率及相关因素研究]

Cui Li-hong, Yan Zhi-hui, Peng Li-hua, Yu Lan, Yang Yun-sheng

Department of Gastroenterology and Hepatology, Chinese PLA General Hospital, Beijing 100853, China.

Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2013 May;31(5):361-5.

OBJECTIVE

To analyze functional dyspepsia prevalence and associated factors of naval forces.

METHOD

By stratified random cluster sampling method, conducted a questionnaire survey and diagnosis of functional dyspepsia to 11 520 military sea forces, and analyzed risk in clinical factors. Large sample size of 3084 cases in the diagnosis of functional dyspepsia, analyzed correlation of the selected 100 patients by single sample random sampling method.

RESULT

Naval forces, functional dyspepsia prevalence was 29.27% (3084/10537), and logistic regression analysis showed that job factors of military service, military rank, the nature of the work, the training intensity, training environmental P = 0.028, 0.023, 0.000, 0.000, 0.014, OR = 10.308, 6.288, 22.504, 26.720, 9.825; life factors of daily water intake, eating fruits and frequency of sleep time, spicy eating habits, drinking history factors P = 0.000, 0.012, 0.025, 0.017, 0.027, OR = 28.467, 20.335, 11.358, 10.249, 9.578; psychological factors, depression, anxiety factor P = 0.024, 0.019, OR = 16.878, 18.025;generally age, gender, ethnicity, BMI index, gastrointestinal history, history of drug, educational background, geographic factors P = 0.042, 0.033, 0.417, 0.000, 0.000, 0.012, 0.392, 0.440, OR = 3.406, 7.511, 2.643, 42.073, 88.457, 21.680, 1.752, 5.561.When value of P < 0.05, clinical risk factors were screened. Clinical symptom scores and work, life factor score and SAS, SDS score of randomly selected patient samples was positively correlated, r = 0.816, 0.763, 0.795, 0.923, P = 0.000, indicating statistically significant.

CONCLUSION

Naval forces functional dyspepsia prevalence was higher than the general population, which risk factors included work, life, psychological, physical fitness factors, closely related with military service and military personnel, military rank, the nature of the work, the training intensity and environment, eating habits, daily sleep time, drinking history, depression, anxiety level, age, gender, BMI index, history of gastrointestinal disease, use of drugs, high priority should be given to the risk factors listed above, the development of rational targeted programs to strengthen the cause of prevention measures.

目的

分析海军部队功能性消化不良的患病率及相关因素。

方法

采用分层随机整群抽样方法，对11520名海军舰艇部队人员进行问卷调查及功能性消化不良诊断，并分析临床相关危险因素。对诊断为功能性消化不良的3084例大样本病例，采用单纯随机抽样方法选取100例患者分析相关性。

结果

海军部队功能性消化不良患病率为29.27%（3084/10537），Logistic回归分析显示，职业因素中的服役岗位、军衔、工作性质、训练强度、训练环境P = 0.028、0.023、0.000、0.000、0.014，OR = 10.308、6.288、22.504、26.720、9.825；生活因素中的每日饮水量、吃水果频率、睡眠时间、吃辣饮食习惯、饮酒史因素P = 0.000、0.012、0.025、0.017、0.027，OR = 28.467、20.335、11.358、10.249、9.578；心理因素中的抑郁、焦虑因素P = 0.024、0.019，OR = 16.878、18.025；一般因素中的年龄、性别、民族、BMI指数、胃肠病史、用药史、文化程度、地域因素P = 0.042、0.033、0.417、0.000、0.000、0.012、0.392、0.440，OR = 3.406、7.511、2.643、42.073、88.457、21.680、1.752、5.561。当P < 0.05时，筛选出临床危险因素。随机选取患者样本的临床症状评分与工作、生活因素评分及SAS、SDS评分呈正相关，r = 0.816、0.763、0.795、0.923，P = 0.000，差异有统计学意义。