消化性溃疡在某部军人中的发病情况及相关因素调查

Prevalence and related factors of peptic ulcer in military personnel of China

目的了解部队消化性溃疡(PU)的发病情况及幽门螺杆菌(Hp)感染情况,探讨军人PU发生的危险因素。方法采用多阶段分层整群随机抽样的方法,对南方战区某地6160名军人进行PU症状及危险因素问卷调查,并进行胃镜精查、Hp检测。结果军人PU相关症状发生率(Sc≥5分)18·60%。标化后的PU患病率12·78%,其中军龄1年、南方籍、装甲部队军人PU患病率高。Hp感染率62·67%。Hp感染(OR4·60)、吸烟(OR3·8)、持续高强度军事训练(OR4·3)、驾驶战斗车辆(OR6·0)、经常精神紧张(OR3·7)等与PU症状发生的关系较大。辛辣饮食、常饮牛奶、是否独生子女等与PU发生无关。结论军人PU患病率及Hp感染率均较高。军人PU发病情况在不同军龄、兵种、入伍前地域之间存在差别,Hp感染、军事训练、精神因素、某些不良生活习惯等与军人PU的发生密切相关。

Objective To investigate the prevalence and related factors of peptic ulcer （PU） and Helicobacter pylori （Hp） irffection in military men. Methods A stratified multi-stage cluster randomly sampling method was used. A questionary survey was conducted in 6 160 soldiers garrisoned at south China, inclding： PU symptoms and risk factors questionnaires; gastroscopy and Hp detection. Results Incidence of PU correlative symptoms （Sc≥5） in soldiers was 18. 60%. The prevalence of PU was 12. 78%. Higher incidence of PU was found among the soldiers who enlisted for less than 1 year, or were from south China, or served in armored troops. The prevalence of Hp irffection was 62. 67%. Hp irffection （OR4. 60）, smoking （OR3. 8）, sustained intense training （OR4.3）, fighting vehicle driving （OR6. 0） and frequent mental intension （OR3. 7） seemed to be the main risk factors of PU. While hot food, milk and whether or not the only child in a family showed no relation with PU incidence. Condusion Higher prevalence of PU and Hp infection existed in service men. For soldiers, PU incidence is closely associated with Hp infection, military training, mental factors, and also related to soldiers＇ enlisted period, arm of the service and the region where the soldiers come from.