综合干预措施对海军某部官兵肠易激综合征的疗效分析

目的评价综合干预措施对海军官兵肠易激综合征（IBS）的疗效。方法2012年6—9月以整群随机抽样的方法调查海军某部现役军人3150人，将诊断明确并资料完整的IBS563例随机分为干预组（287例，给予综合干预治疗）与对照组（276例，仅给予药物治疗）。治疗前后采用焦虑自评量表（SAS）及抑郁自评量表（SDS）对两组焦虑、抑郁情况进行评分。结果海军某部官兵IBS的发病率高达18．70％，IBS官兵SAS、SDS评分高于非IBS官兵（P〈0．05）。干预组疗效优于对照组（P〈0．05），且治疗后SAS、SDS评分较对照组显著降低（P〈0．05）。结论综合干预措施较单纯药物治疗对海军官兵IBS的疗效更好，值得推广。

Effectiveness Analysis of Comprehensive Intervention for Officers and Sailors with Irritable Bowel Syndrome in a Naval Unit

Objective To evaluate the effectiveness of comprehensive intervention for officers and soldiers with irritable bowel syndrome （IBS） in a naval unit. Methods A total of 3150 officers and sailors in a navy unit from 2012 June to September were investigated by random cluster sampling method. Out of 3150 cases, 563 cases of complete clini- cal data with confirmed diagnosis of IBS, were randomly divided into intervention group （ n = 287 ） and control group （ n = 276）. The intervention group was treated with comprehensive intervention, and the control group was treated with traditional drug treatment. The scores of anxiety and depression of the two groups were detected by self-rating anxiety scale （SAS） and self-rating depression scale （SDS） before and after treatment. Results The incidence rate of IBS in a navy unit was 18.70% , and scores of SAS and SDS in patients with IBS were significantly higher than those in officers and sailors without IBS. The curative effect in intervention group was better than that in control group （P 〈 0.05 ） , and scores of SAS and SDS after treatment were significantly lower than those in control group （ P 〈 0.05 ）. Conclusion The comprehensive intervention is more effective than traditional drug treatment for officers and sailors with irritable bowel syn- drome in a naval unit.