驻疆边防官兵功能性胃肠疾病流行病学调查分析

Epidemiological investigation of functional gastrointestinal disorders on soldiers at frontier defence in Sinkiang

目的探讨驻疆边防官兵功能性胃肠疾病(functional gastrointestinal disorders,FGIDs)的发病情况及其相关影响因素。方法按照FGIDs罗马Ⅲ分类及诊断标准,对驻疆边防官兵进行问卷调查。按国际统一评判方法(SA forRomeⅢ-DQ)对各种功能性胃肠疾病进行诊断。结果①抽样调查官兵1062人,FGIDs总发病人数333例,总发病率为31.34%。其中肠易激综合征(irritable bowel syndrome,IBS)发病率最高,为21.06%,其次为功能性烧心9.79%、功能性腹痛综合征4.94%、功能性便秘4.57%和功能性腹泻4.10%。而上腹痛综合征、胆囊及SO功能紊乱以及慢性肛痛发病率较低,均不到1%。②各类FGIDs发病率依次为功能性肠病30.75%,功能性食管疾病11.65%,功能性胃十二指肠疾病9.23%,功能性腹痛综合征4.94%,功能性肛门直肠疾病1.17%,功能性胆囊及SO功能紊乱0.09%。③主要症状中咽部疼痛或不适发生率最高(10.62%),其次为腹泻和恶心,分别为9.97%和8.95%。④FGIDs发病集中在26岁-35岁之间;AB型血发病率最低,最高为A型血;汉族和少数民族发病率无显著差异;随着军龄、军衔的增长,发病率有升高趋势。结论驻疆边防官兵FGIDs总体发病率高于普通人群,可能与边防官兵任务重,驻地天气条件恶劣,训练紧张,生活单调有关。

Objective To investigate incidence and related factors of functional gastrointestinal disorders （FGIDs） on soldiers at frontier defence in Sinkiang. Methods According to the Rome m diagnostic criteria, questionnaires were performed in the soldier population at frontier defence in Sinkiang. With reference to international judgment standard （SA for Rome Ⅲ - DQ）, diagnosis was made. Results （1） 1062 soldiers were sampled, and the diagnosis of FGIDs was made in 333 cases with total incidence of 31.34%. Among all subtypes of FGIDs, the incidence of irritable bowel syndrome （IBS） was highest （21.06%）, followed by functional heartburn （9.79%）, functional abdominal pain syndrome （4.94%）, functional constipation （4.57%）, and functional diarrhea （4.10%） .As compared, the incidences of epigastric pain syndrome, functional disorder of gall bladder and sphincter oddi, and chronic anus pain were less than 1% .（2）The incidences of subtypes of FGIDs were as follows： functional enteropathy （30.75%）, functional esophageal disease （11.65%）, functional gastric and duodenal disease （9.23%）, functional abdominal pain syndrome （4.94%） , functional disease of rectum and anus （1.17%）, and functional disorder of gall bladder and sphincter oddi （0.09%）. （3）Among major symptoms, the incidence of pharyngeal pain or discomfort was highest （ 10.62% ）, followed by diarrhea （9.97%） and nausea （8.95%）. （4）FGIDs was mainly distributed in the soldiers population between 26 and 35 years. The soldiers with blood type AB had the lowest incidence of FGIDs and the highest in blood type A. No significance in incidence of FGIDs was observed between Hart people and minority ethnic group. With the increase of military age and military rank, the morbidity of FGIDs showed a ascending trend. Conclusion The incidence of FGIDs in the soldiers at frontier defence in Sinkiang was higher than that in general population. It might be related to heavier work, worse climate condition, and simple lifestyle.