地震灾区居民消化道症状与睡眠障碍的关系

目的 分析汶川大地震后灾区居民消化道症状与睡眠障碍的关系.方法 采用整群随机抽样方法,以地震后2周为时间界限,以同时期北京地区居民作对照,对受灾居民进行问卷调查,按照罗马Ⅲ标准判断是否存在消化道症状,并根据睡眠问卷分析睡眠障碍与消化道症状的关系.结果 956例受灾居民中,459例(48.0%)存在消化道症状,对照组1021例北京地区受访居民中,78例(7.6%)存在消化道症状,后者明显低于地震灾区居民的消化道症状发生率(P＜0.05).各年龄段受灾居民组及对照组的消化道症状发生率的差异无统计学意义(P＞0.05).受灾居民在地震发生2周内出现的消化道症状主要以腹痛(14.0%)、腹胀(12.1%)、便秘(10.3%)、烧心(8.6%)、排便障碍(8.3%)为主.在459例有消化道症状的受灾居民中,存在睡眠障碍的有384例(83.7%),明显高于对照组的19例(24.4%),P＜0.05.受灾居民组中,有消化道症状的患者早醒伴乏力现象发生率(57.1%)明显高于无消化道症状的患者(23.5%),P＜0.05.结论 地震灾区受灾居民消化道症状的发生率较同时期北京地区受访居民的发生率显著升高,消化道症状的发生与睡眠障碍有关,其中早醒伴乏力是出现消化道症状的影响因素.

An analysis of gastrointestinal symptoms and sleep disturbance in disaster area after the Wen-Chuan earthquake

Objective To analyze the association of gastrointestinal symptoms and sleep disturbance after Wen-Chuan earthquake. *Methods Using random sampling method, compared with Beijing publics at the same time, within two weeks, questionnaire was performed in the disaster area population.Gastrointestinal symptoms were diagnosed according to the Rome Ⅲ standard, and were analyzed in relation to sleep investigation. Results Among 956 disaster area individuals, 459 (48.0%) have gastrointestinal symptoms. Among 1021 Beijing publics, the corresponding number was 78(7. 6% ) ,which was significantly lower. The main gastrointestinal symptoms included abdominal pain ( 14. 0% ), distension ( 12. 1% ),constipation ( 10. 3 % ), heartburn (8. 6% )and dysporia (8. 3% ). Compared with Beijing publics (24. 4% ),the disaster area publics ( 83.7% ) with gastrointestinal symptoms had significant differences in sleep disturbance (P ＜0. 05 ). Early awakening with acratia had significant differences in disaster area publics (P ＜ 0. 05). Conclusion There was relatively high incidence of gastrointestinal symptom after Wen-Chuan earthquake. The incidence of gastrointestinal symptom was related to sleep disturbance, and gastrointestinal symptoms were related to early awakening with acratia.