武警某医院就诊官兵胃食管反流病的患病情况及其影响因素

 目的 探讨武警某医院就诊官兵胃食管反流病(gastroesophageal reflux disease,GERD)的患病情况,并对其相关影响因素进行分析。方法 选择2019年3-6月就诊于武警某医院的武警官兵为研究对象,对就诊官兵采用问卷调查的方式,主要包括GerdQ量表、症状、饮食生活习惯、精神心理因素等。计算就诊官兵的患病率,并分析GERD的影响因素。结果 武警官兵GERD患者占就诊官兵人数的23.38％(278/1189)。武警官兵发生GERD与兵龄长短没有明显的相关性,但与岗位有明显的相关性,差异有统计学意义(P<0.05)。武警官兵GERD组伴发食管外症状或疾病明显高于非GERD组,差异有统计学意义(P<0.05)。吸烟、进食过饱、辛辣饮食、甜食、熬夜等不良生活及饮食习惯所占比例,GERD组明显高于非GERD组,差异有统计学意义。多因素Logistic分析显示,吸烟(OR 3.582,95%CI 1.282~10.897)、进食过饱(OR 1.419,95%CI 1.176~2.988)、辛辣食物(OR 3.761,95%CI 1.523~8.845)、甜食(OR 2.533,95%CI 1.477~4.342)是GERD的独立危险因素,具有统计学意义(P<0.05)。结论 武警官兵GERD患者临床表现多样,容易误诊和漏诊,不良的生活习惯会影响武警官兵GERD的患病率。

Affective factors and prevalence of gastroesophageal reflux disease among medical officers and soldiers in a armed police hospital

Objective To investigate the prevalence of gastroesophageal reflux disease among medical officers and soldiers in a armed police hospital, and to analysis its possible factors.Methods The medical officers and soldiers in a armed police hospital from March 2019 to June 2019 were collected. And they were surveyed by questionnaire, which including GerdQ, symptoms, eating habits, psychosocial factors and so on. According to the survey result, calculating the prevalence of medical officers and soldiers, and analysis the influence factors of GERD.Results The armed police officers and soldiers of GERD patients accounted for 23.38%(278/1189). There is no obvious correlation between the occurrence of GERD and the length of military service. But it is obviously correlated with their posts,with statistically significant difference (P<0.05).Armed police officers and soldiers of GERD with external esophageal symptoms or disease was higher than that of non-GERD, and the difference was statistically significant (P<0.05). The GERD group was significantly higher than the non-gerd group in smoking, eating too much and spicy food, staying up late and other bad eating habits, and the difference was statistically significant(P<0.05).Multivariate Logistic analysis showed smoking (OR 3.582, 95%CI 1.282-10.897), eating too much(OR 1.419, 95%CI 1.176-2.988), eating spicy food (OR 3.761, 95%CI 1.523-8.845), eating dessert (OR 2.533,95%CI 1.477-4.342)could be independent risk factors for GERD,which was statistically significant (P<0.05).Conclusions The clinical manifestations of GERD patients of armed police officers and soldiers are diversified, which is easy to be misdiagnosed and missed. If not receive timely diagnosis and treatment, It can affect their quality of life seriously. Poor living habits will affect the prevalence of GERD among armed police officers and soldiers.