本文關(guān)鍵詞：駐南方某部軍人胃食管反流病的流行病學(xué)研究　出處：《解放軍醫(yī)學(xué)雜志》2010年06期 　論文類型：期刊論文

  更多相關(guān)文章： 胃食管反流 流行病學(xué) 軍事人員

【摘要】：目的探討軍人胃食管反流病(GERD)的發(fā)病情況及相關(guān)危險(xiǎn)因素。方法采用整群分層隨機(jī)抽樣方法 ,對(duì)駐南方某部軍人進(jìn)行GERD臨床表現(xiàn)及危險(xiǎn)因素問卷調(diào)查。按反流性疾病問卷(RDQ)評(píng)分定義,對(duì)胃灼熱、反酸、反食、非心源性胸痛等GERD典型臨床表現(xiàn)進(jìn)行評(píng)分,根據(jù)其嚴(yán)重程度和頻次進(jìn)行評(píng)分,計(jì)算出每位被調(diào)查者的總積分(Sc),Sc≥12分列入病例組,Sc12列入非病例組。結(jié)果共選取駐南方某部軍人2400余人進(jìn)行調(diào)查,獲得有效調(diào)查問卷2000份,GERD臨床表現(xiàn)發(fā)生率為5.10%,以炮兵最高,武警最低,但不同兵種間無顯著差異(P0.05)。病例組腹脹、噯氣、惡心、嘔吐、腹痛等的發(fā)生率及喉炎、咽炎、口腔潰瘍等疾病的發(fā)生率均高于非病例組(P0.05),飲酒、高脂飲食、進(jìn)食過飽、辛辣飲食、飲濃茶、便秘等的比例也高于非病例組(P0.01)。年齡(OR=1.112)、高脂飲食(OR=1.136)、進(jìn)食過飽(OR=1.765)、辛辣食物(OR=1.575)、濃茶(OR=1.760)、便秘(OR=3.154)、壓力(OR=1.085)與GERD臨床表現(xiàn)發(fā)生的關(guān)系較大,兵種、體重指數(shù)(BMI)、抽煙、飲酒、甜食、咖啡等與GERD發(fā)生的無明顯關(guān)系。結(jié)論軍人GERD患病率與亞洲普通人群相似,且臨床表現(xiàn)的發(fā)生與多種因素密切相關(guān)。
[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.
【作者單位】： 福建醫(yī)科大學(xué)福州總醫(yī)院消化內(nèi)科;南京軍區(qū)福州總醫(yī)院消化內(nèi)科;
【基金】：南京軍區(qū)醫(yī)藥衛(wèi)生科研重點(diǎn)項(xiàng)目(07Z035)
【分類號(hào)】：R571;R82
【正文快照】： 胃食管反流病(gastroesophageal reflux disease,GERD)是指胃內(nèi)容物反流入食管,引起不適癥狀和(或)并發(fā)癥的一種疾病。臨床上GERD可分為非糜爛性反流病(non-erosive reflux disease,NERD)、糜爛性食管炎(erosive esophagitis,EE)和Barrett食管(Barrett'sesophagus,BE)3種類型[

【參考文獻(xiàn)】

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1 熊理守;陳e，

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