急进驻高原官兵胃肠应激反应患病率及饮食因素调查

发布时间：2018-08-16 13:00

【摘要】：目的:了解急进驻高原官兵的胃肠应激反应的患病率和饮食危险因素,为制定饮食干预措施提供科学依据.方法:整群随机抽样抽取4d内从海拔1300m急进驻到海拔4500m的某野战部队官兵408人,采用问卷法,进行胃肠应激反应的患病率和饮食相关因素调查,应用非条件Logistic回归进行单因素和多因素分析.结果:高原胃肠反应患病率为22.81%,其中恶心呕吐者26.03%,腹胀者15.07%,便秘者8.22%,腹痛者13.70%,腹泻者23.29%,厌食者13.70%.疲乏、失眠、紧张、情绪差的官兵患病率较高.单因素Logistic回归分析表明进餐不规律(OR=2.648),某顿饭不吃(OR=1.82),暴饮暴食(OR=1.667),挑食(OR=1.727),厌食面条(OR=1.969)为危险因素.多因素Logistic回归分析表明进餐不规律(OR=2.129),挑食(OR=1.886)为危险因素.结论:精神状态和饮食因素在高原胃肠应激反应的发生和发展中起着一定作用.
[Abstract]:Objective: to investigate the prevalence rate and dietary risk factors of gastrointestinal stress reaction in officers and soldiers at high altitude, and to provide scientific basis for formulating dietary intervention measures. Methods: a total of 408 officers and soldiers of a field army were randomly sampled from 1300 m above sea level to 4500m above sea level within 4 days. The prevalence rate of gastrointestinal stress and dietetic factors were investigated by questionnaire method. Univariate and multivariate analysis was performed by non-conditional Logistic regression. Results: the prevalence of gastrointestinal reaction at high altitude was 22.81, including 26.03 nausea and vomiting, 15.07 abdominal distension, 8.22 constipation, 13.70 abdominal pain, 23.29 diarrhea, 13.70 anorexia. Fatigue, insomnia, tension, emotional poor officers and soldiers have a higher prevalence. Univariate Logistic regression analysis showed that OR=2.648, OR=1.82, OR=1.667, OR=1.727 and OR=1.969 were risk factors. Multivariate Logistic regression analysis showed that irregular eating (OR=2.129) and selective feeding (OR=1.886) were risk factors. Conclusion: mental state and dietary factors play an important role in the occurrence and development of gastrointestinal stress at high altitude.
【作者单位】：兰州军区兰州总医院营养科兰州军区兰州总医院营养科 68222部队卫生队兰州军区兰州总医院科训科青海省军区教导大队兰州军区兰州总医院营养科
【基金】：兰州军区医药卫生科研基金(LXH-2006028)
【分类号】：R82

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