驻南方某部军人胃食管反流病的流行病学研究

发布时间：2017-12-26 23:30

本文关键词：驻南方某部军人胃食管反流病的流行病学研究　出处：《解放军医学杂志》2010年06期 　论文类型：期刊论文

【摘要】：目的探讨军人胃食管反流病(GERD)的发病情况及相关危险因素。方法采用整群分层随机抽样方法 ,对驻南方某部军人进行GERD临床表现及危险因素问卷调查。按反流性疾病问卷(RDQ)评分定义,对胃灼热、反酸、反食、非心源性胸痛等GERD典型临床表现进行评分,根据其严重程度和频次进行评分,计算出每位被调查者的总积分(Sc),Sc≥12分列入病例组,Sc12列入非病例组。结果共选取驻南方某部军人2400余人进行调查,获得有效调查问卷2000份,GERD临床表现发生率为5.10%,以炮兵最高,武警最低,但不同兵种间无显著差异(P0.05)。病例组腹胀、嗳气、恶心、呕吐、腹痛等的发生率及喉炎、咽炎、口腔溃疡等疾病的发生率均高于非病例组(P0.05),饮酒、高脂饮食、进食过饱、辛辣饮食、饮浓茶、便秘等的比例也高于非病例组(P0.01)。年龄(OR=1.112)、高脂饮食(OR=1.136)、进食过饱(OR=1.765)、辛辣食物(OR=1.575)、浓茶(OR=1.760)、便秘(OR=3.154)、压力(OR=1.085)与GERD临床表现发生的关系较大,兵种、体重指数(BMI)、抽烟、饮酒、甜食、咖啡等与GERD发生的无明显关系。结论军人GERD患病率与亚洲普通人群相似,且临床表现的发生与多种因素密切相关。
[Abstract]:Objective to investigate the incidence and risk factors of gastroesophageal reflux disease (GERD) in soldiers. Methods a cluster stratified random sampling method was used to investigate the clinical manifestations and risk factors of GERD in some military personnel in the south of China. By reflux disease questionnaire (RDQ) score wasassessed definition, heartburn, acid reflux, regurgitation, non cardiac chest pain typical clinical manifestations of GERD, were scored according to the severity and frequency, calculate the total score for each respondent (Sc), Sc = 12 respectively in case group, Sc12 not included in the case group. Results a total of over 2400 soldiers stationed in the South were investigated, and 2000 valid questionnaires were obtained. The incidence of GERD was 5.10%, the highest in artillery and lowest in armed police forces, but there was no significant difference among different arms (P0.05). Cases of abdominal distention, belching, nausea, vomiting, abdominal pain and the incidence of oral ulcers, pharyngitis, laryngitis and other diseases were higher than that of non case group (P0.05), high fat diet, drinking, overeating, spicy food, drink tea, constipation and other more than non disease group (P0.01 cases). Age (OR=1.112), high fat diet (OR=1.136), eating too much spicy food (OR=1.765), (OR=1.575), tea (OR=1.760), constipation (OR=3.154) and pressure (OR=1.085) and the relationship between the clinical manifestations of GERD occurred in large, arms and body mass index (BMI), no obvious relationship between smoking and drinking, sweets, coffee etc. with the development of GERD. Conclusion the prevalence rate of GERD in military personnel is similar to that of ordinary people in Asia, and the occurrence of clinical manifestations is closely related to a variety of factors.
【作者单位】：福建医科大学福州总医院消化内科;南京军区福州总医院消化内科;
【基金】：南京军区医药卫生科研重点项目(07Z035)
【分类号】：R571;R82
【正文快照】： 胃食管反流病(gastroesophageal reflux disease,GERD)是指胃内容物反流入食管,引起不适症状和(或)并发症的一种疾病。临床上GERD可分为非糜烂性反流病(non-erosive reflux disease,NERD)、糜烂性食管炎(erosive esophagitis,EE)和Barrett食管(Barrett'sesophagus,BE)3种类型[

【参考文献】