综合干预措施在海军官兵功能性消化不良治疗中的效果分析

目的分析综合干预措施在治疗海军官兵功能性消化不良中的作用。方法2010年6—12月以整群随机抽样的方法调查海军某部现役军人2875人，筛选出功能性消化不良患者713例，随机选择356例为干预治疗组，357例为对照组。干预治疗组给予包括药物治疗在内的综合干预，对照组仅给予药物治疗。比较治疗前及治疗10周后两组治疗效果及焦虑自评量表（SAS）、抑郁自评量表（SDS）评分变化。结果海军某部官兵功能性消化不良的发病率为24．8％，焦虑、抑郁发生率为58．77％。干预治疗组疗效明显优于对照组（P〈0．05），治疗后SAS、SDS评分较本组治疗前及对照组治疗后明显降低（P〈0．05）。结论科学合理的综合干预措施在治疗海军官兵功能性消化不良中起重要作用，对保障官兵的身心健康、增强部队的战斗力有重要意义。

Effectiveness Analysis of Comprehensive Intervention in Treatment of Officers and Sailors with Functional Dys- pepsia in a Navy Unit

Objective To analyze the effect of comprehensive intervention in treatment of officers and sailors with functional dyspepsia in a naval unit. Methods A total of 2875 officers and sailors in a naval unit from 2010 June to December were investigated with random cluster sampling method. The 713 patients with functional dyspepsia were ran- domly divided into intervention group （ n = 356） and control group （ n = 357 ）. The intervention group was treated with comprehensive intervention included medications, while the control group was treated with medications only. The effects and scores of self-rating anxiety scale （SAS） and self-rating depression scale （SDS） in the two groups were compared be- fore treatment and after a 10-week treatment course. Results The incidence rate of functional dyspepsia and anxiety ＆ depression in a naval unit was 24.8% and 58.77% respectively. The curative effect in intervention group was much bet- ter than that in control group （P 〈 0.05 ） , and scores of SAS and SDS in intervention group after treatment were signifi- cantly lower than those before treatment in intervention group and after treatment in control group （ P 〈 0. 05 ）. Conclusion Scientific and reasonable comprehensive intervention plays an important role in treatment of functional dys- pepsia, and it is very important to ensure good physical and-mental health of sailors in maintaining combat capabilities.