船员功能性胃肠病患病情况调查

Investigation on the prevalence of functional gastrointestinal diseases among the ship crew

目的了解船员功能性胃肠病（functional gastrointestinal diseases，FGIDs）的患病情况及其社会心理影响因素。方法采用随机整体抽样方法，对1064名体检船员进行问卷调查，根据罗马Ⅲ诊断标准统计各种FGIDs的患病率。并对153名体检船员进行症状自评量表、生活事件量表和社会支持评定量表测评。结果船员各种FGIDs患病率分别为：功能性消化不良21．5％，肠易激综合征6．8％，功能性腹胀9．7％，功能性便秘14．4％，功能性腹泻5．0％，功能性腹痛3．5％，重叠症10．0％。在量表测评中，FGIDs船员躯体化、强迫、人际关系、抑郁、焦虑等因子和负性事件刺激量、生活事件总刺激量、客观支持评分及总分与无FGIDs的船员比较差异有统计学意义（P〈0．05）。结论FGIDs是船员的常见病和多发病，受心理因素、生活事件、社会支持的影响。

Objective To investigate the prevalence and related psychosocial factors of functional gastrointestinal diseases （FGIDs） among the ship crew. Methods Random overall sampling was used to conduct a questionnaire in 1064 crewmen. The prevalence rate of different FGIDs was surveyed by Roma m criteria. At the same time, measurements were also made with Symptom Check List - 90 （ SCL - 90 ） , Life Event Scale （LES） and Social Support Rating Scale （SSRS） in 153 crewmen having physical examination. Results The prevalence rate of FGIDs in the crewmen were as follows： functional dyspepsia was 21.5%, irritable bowel syndrome 6. 8% , functional abdominal distension 9.7% , functional constipation 14. 4% , functional diarrhea 5.0% , functional abdominal pain 3.5% , and overlapping symptom 10. 0%. The scores of somatization, compulsion,interpersonal relationship, depression, anxiety, negative event stimulation and total life events,objective and total support in the crewmen with FGIDs were significantly higher than those of the crewmen without FGIDs （P 〈 0. 05 ）. Conclusions As were seen among the ship crew, FGIDs were common and frequently occurred disorders, which were affected considerably by the psychological factor, life event and social support.