某部基层官兵功能性胃肠疾病近况调查及相关因素分析

目的探讨某部基层官兵功能性胃肠疾病（functional gastrointestinal disorders,FGIDs）的发病情况及其相关影响因素。方法按照FGIDs罗马Ⅲ分类及诊断标准,对某部官兵1882人采用多级分层随机整群抽样方法进行问卷调查。按国际统一评判方法（SA for RomeⅢ-DQ）对各种功能性胃肠疾病进行诊断。选择调查目前某部官兵存在的功能性消化道疾病,包括：①功能性消化不良（上腹痛综合征及餐后不适综合征）;②肠易激综合征（irritable bowe syndrome,IBS）,以腹泻为主型IBS及便秘为主型IBS③功能性腹胀;④功能性便秘、胆系疼痛（胆囊及Oddi＇s括约肌功能紊乱）。结果①抽样调查官兵1882人FGIDs总发病人数501例,总发病率为26.63%。其中功能性腹胀发病率最高为8.66%;其次为功能性消化不良6.91%,IBS5.79%,慢性功能性便秘4.57%;而胆囊及Oddi＇s括约肌功能紊乱发病率较低,均不到1%。功能性消化不良中的上腹痛综合征发病率为3.35%;餐后不适综合征发病率为3.56%;IBS中的腹泻为主型IBS发病率为2.92%,便秘为主型IBS发病率为2.96%。②各类FGIDs发病率依次为功能性肠病19.02%,功能性胃十二指肠疾病6.91%,功能性胆囊及Oddi＇s括约肌功能紊乱0.70%。③在FGIDs发病人群中吸烟比率达89.42%,存在饮酒史的占74.05%,明显高于不吸烟、饮酒的人群。结论在官兵中占有相当比例的FGIDs,一定程度上影响到官兵正常训练及执行作战任务,应采取相应干预措施降低其发病率。

Investigate the mobidity and the related factors of functional gastrointestinal disorders in officers and soldiers at grass-roots units of some troops

Objective To investigate the mobidity and the related factors of functional gastrointestinal disorders（functional gastrointestinal disorders,FGIDs） in officers and soldiers in Grass-roots units of some troops.Methods To survey the some troops of officers and soldiers by multi-stage stratified random cluster sampling method according to FGIDs Rome？？？ssification and diagnostic criteria.To diagnose the functional gastrointestinal disorders by the international harmonization evaluation method（SA for Rome？？？）.In the selective survey,functional gastrointestinal diseases in the current naval officers and soldiers include：（1） Functional dyspepsial upper abdominal pain syndrome and postprandial discomfort. （2）Syndrome functional dyspepsial diarrhea-predominant IBS constipation-predominant IBS.（3） Functional abdominal bloating.（4） Functional constipation biliary pain gallbladder dysfunction and Oddi s sphincter dysfunction.Results（1） According to the sampling survey of 1 882 some troops of officers and soldiers,the total incidence of FGIDs is 501 cases, the total morbidity was 26.63%.Among these,the morbidity of functional abdominal distention （funtional bloating,FB） was highest as 8.66%.The second is functional dyspepsia （FD）,6.91%,and later irritable bowel syndrome（IBS） was 5.79%,chronic functional constipation （CC） was 4.57%.Meanwhile,the gall bladder and SO dysfunction incidence is relatively low.The incidence of epigastric pain syndrome（EPS） in Functional Dyspepsia was 3.35%,postprandial distress syndrome was 3.56%,constipation-predominant IBS was 3.35%.（2）The incidence of various FGIDs were 19.02%,6.91%and 0.70%for functional bowel disorders,functional gastrointestinal disorder and functional disorders of gallbladder respectively. （3）The morbidity of FGIDs included 89.42%who smokes and 74.05%who with alcohol drinking.It was significantly higher in the crowd without smoking and drinking.Conclusion It still takes up a considerable proportion in officers and soldiers of FGIDs,which affects the normal training and implementation of the operational tasks to some extent.It needs to take certain appropriate intervention measures to reduce the morbidity.