摘要
目的探讨胃癌高发地区人群中功能性消化不良(FD)的患病率及发病相关因素。方法根据罗马Ⅱ标准从普查人群中诊断出消化不良病例,包括器质性消化不良(OD)和FD;再通过胃镜、腹部B超、实验室检查等排除OD,确诊FD;在普查人群中随机选择健康者作为对照组;对上述人群询问了解其工作、生活及心理有关因素。结果确诊的消化不良患者共209例,其中FD为91例,FD占消化不良患者的43.54%。睡眠差在FD组占43.96%,高于对照组的15%(P<0.05);人际关系敏感、强迫症状在FD组分别占46.15%和65.93%,明显高于对照组的10%和30%(P<0.01),其余因素在两组所占比例差异无显著性(P>0.05)。结论胃癌高危人群FD占消化不良的患病率与非胃癌高危人群相似。睡眠差与FD发病相关,人际关系敏感、强迫症状与FD发病密切相关,其余因素与当地FD发病无相关性。
Objective To investigate the incidence rate and influencial factors of functional dyspepsia（ FD）in high risk population of gastric carcinoma. Methods Functional and organic dyspepsia （ OD ） cases were first diagnosed according to Roma Ⅱ criteria in the population under investigation. FD was diagnosed by using gastreendoscope, abdominal B -type uhrasonography and laboratory examinations. Normal control group was selected from the population. Working, living and psychological factors were investigated. Results Total of 209 cases were diagnosed as dyspepsia, 91 of which were FD （43.54%）. 43.96% of the FD patients had poor sleeping. This was higher than 15% of the control group（ P 〈0.05）. 46.15% and 65.93% of the FD patients were sensitive person- person relationship and obsessive neurosis respectively. These were significantly higher than 10% and 30% of the control group （ P 〈0. 01）. There were no significant differences in other factors between the two groups（ P 〉0.05）. Conclusion The percentage of FD patients in all dyspepsia patients in high risk population of gastric carcinoma is similar with that of normal population. Poor sleep quality, sensitive person - person relationship and obsessive neurosis are related to FD.
出处
《现代肿瘤医学》
CAS
2006年第2期227-228,共2页
Journal of Modern Oncology
基金
陕西省教育厅专项科研工基金资助(编号05DK316)
关键词
胃癌高危人群
功能性消化不良
患病率
发病因素
high risk population of gastric carcinoma
functional dyspepsia
incidence rate
influencial factor
