中部地区陆军驻训官兵消化系统疾病谱调查及其危险因素分析

 目的 调查中部地区陆军驻训官兵消化系疾病患病情况,分析相关危险因素,初探消化系统疾病防治策略。方法 设计调查问卷,并通过预调查评估问卷质量;采用分层整群随机抽样方法,在我国中部地区7省市各抽取一个陆军基层单位,对所属的驻训官兵进行电子或纸质问卷调查,总结分析官兵消化系统疾病谱,并探讨疾病发生的危险因素。结果 共收集有效问卷3055份,896名官兵(29.3%)驻训时存在消化系统症状,其中腹泻最为常见,占比为13.7%;507名官兵(16.6%)在驻训时曾患消化系统疾病,其中胃肠炎、消化道溃疡、功能性肠病较常见,占比分别为16.9%、3.6%和2.9%。logistic回归分析提示,军龄(OR:0.59,95%CI:0.51~0.69)、军官身份(OR:1.64,95%CI:1.41~1.91)、驻训时间(OR:0.90,95%CI:0.84~0.98)、训练强度(OR:1.75,95%CI:1.41~2.17)、腹部受凉(OR:1.32,95%CI:1.10~1.69)及不洁食物史(OR:3.25,95%CI:2.52~4.20)是消化系统疾病发生的可能危险因素。结论 在野外训练中,规律的健康饮食、充足的保暖装备、适当的减压和合理的训练时间可能降低其发生风险,从而减少非战斗减员。

The spectrum of and risk factors for gastrointestinal diseases of Chinese army during a field training in Central China

Objective To investigate the digestive disease spectrum of Chinese army servicemen during a field training in Central China and to analyze related risk factors in order to formulate prevention and treatment strategies. Methods A questionnaire was designed and its quality was evaluated through a pre-survey. Using the stratified cluster random sampling method, one army unit from each of the seven provinces and cities in China was selected.Electronic or paper questionnaire surveys were conducted among these servicemen before the disease spectrum of the digestive system was made available and analyzed. The risk factors were also explored. Results A total of 3055 valid questionnaires were finally collected,which indicated that 896 soldiers presented with symptoms of the digestive system, and that diarrhea was the most common, accounting for 13.7%. 507 soldiers suffered from diseases of the digestive system, including gastritis, enteritis, digestive ulcer and functional bowel disease, accounting for 16.9%, 3.6% and 2.9%, respectively. According to logistic regression analysis, the length of military service(OR:0.59,95%CI:0.51-0.69), status as an officer(OR:1.64,95%CI:1.41-1.91), the field training time(OR:0.90,95%CI:0.84-0.98), pressure of training(OR:1.75,95%CI:1.41-2.17),chilled abdomens(OR:1.32,95%CI:1.10-1.69),and defiled foods(OR:3.25,95%CI:2.52-4.20)were possible risk factors for digestive diseases. Conclusions During a field training, a healthy and regular diet, the thermal outfit, appropriate decompression of negative emotions and proper training time may effectively decrease the risk of digestive diseases and reduce attrition.