摘要
目的探讨军人饮食习惯、工作环境、轮班工作、睡眠及压力等因素与功能性肠病(functional bowel disorders,FBDs)的关系。方法采用整群随机抽样方法,对在中部地域服役的解放军陆军某部1000名17~34岁男性现役官兵进行问卷调查。采用功能性胃肠病(functional gastrointestinal disorders,FGIDs)罗马Ⅲ问卷进行FGIDs的分类和诊断,分析FBDs患病的危险因素。结果共纳入合格问卷913份,诊断为FBDs331例(FBDs组),无FGIDs官兵491例(对照组)患其他疾病者91例(剔除)。FBDs组与对照组年龄[(22.94±3.59)岁vs(22.17±3.08)岁]、军龄[2(2,7)年vs2(2,5)年]、吸烟年数[5(3,8)vs4(3,7)]、吸烟年包数[273.75(0,912.50)vs91.25(0,657)]、饮酒的年数[6(3,9)vs4(2,6)]、细菌性痢疾病史(10.88%vs6.72%)、急性胃肠炎病史(19.03%vs8.15%)和家族史(6.95%vs1.22%)有统计学差异(P均<0.05)。饮食习惯方面,FBDs组挑食、喜食辛辣食物、干硬食物、经常食用较烫的食物的情况更多(P均<0.05)。工作压力和环境方面,FBDs组轮班和24h电话值班者较多,每日工作时间更长,工作压力更大,压力性事件更多,休假较少,在寒冷环境和潮湿多雨的环境下工作者更多(P均<0.05)。多元回归分析提示,年龄、饮酒的年数、喜食干硬食物、轮班工作、24h电话值班、压力性事件、潮湿多雨的工作环境是FBDs患病的影响因素(P均<0.05)。结论军人FBDs的发病可能与年龄、饮酒、饮食、轮班工作、压力、潮湿多雨的工作环境密切相关。
Objective To determine the relationship between functional bowel disorders(FBDs) and related factors including diet habit, working environment, job shift, sleep quality and stress in a military unit. Methods A questionnaire survey was conducted in1 000 army servicemen by cluster random sampling method in the Central Theater Command. Functional gastrointestinal disorders(FGIDs) were diagnosed based on the RomeⅢ Modular Questionnaire. All subjects completed Pittsburgh sleep quality index questionnaire to evaluate the sleep quality. The stress events including family, learning, working, emotional, interpersonal and environmental pressure were also recorded. Results Of the 913 eligible subjects, 331 servicemen were diagnosed as FBDs(FBDs group) and 491 as non FGIDs(control group). There were significant differences in age [(22.94±3.59) years vs(22.17±3.08)years], military service time [2(2,7) years vs 2(2,5) years], years of smoking [5(3,8) years vs 4(3,7) years ], smoking pack per year [273.75(0,912.50) vs 91.25(0,657)], years of drinking [6(3, 9) years vs 4(2, 6) years], bacillary dysentery history(10.88% vs6.72%), acute gastroenteritis history(19.03% vs 8.15%) and family history(6.95% vs 1.22%) between FBDs and control group(all P <0.05). Picky about food, eating spicy food, hot food, dry and hard food were more prevalent in FBDs group than in control group(all P <0.05). Compared with control group, FBDs group was subjected to more rotating shift, 24 hour-on-call, working hours per day, life stressors, higher working pressure and less vacation days(all P <0.05). Working in cold, rainy and humid environment were more common in FBDs group compared with control group(P <0.05). Multiple regression analysis showed that age, years of drinking, taking dry and hard food, rotating shift and 24 hour-on-call, life stressors, rainy and humid environment were the influencing factors for FBDs(P <0.05). Conclusion The pathogenesis of FBDS in servicemen may be closely correlated to age,years of drinking, diet, rotating work, stress as well as rainy and humid environment.
作者
姚欣
靳海峰
智佳
王楠
刘贞
孙蓉
YAO Xin;JIN Haifeng;ZHI Jia;WANG Nan;LIU Zhen;SUN Rong(Department of Gastroenterology,Beijing Friendship Hospital,Capital Medical University,National Clinical Research Center for Digestive Disease,Beijing 100050,China;Department of Gastroenterology,the 980st Hospital of the PLA Joint Logistics Support Force,Shijiazhuang 050082,Hebei Province,China)
出处
《解放军医学院学报》
CAS
2019年第5期401-406,共6页
Academic Journal of Chinese PLA Medical School
基金
河北省科技计划项目(17277767D)~~
关键词
功能性肠病
流行病学
军事人员
危险因素
functional bowel disorders
epidemiology
military personnel
risk factor
