驻戈壁沙漠地区军人消化性溃疡危险因素调查及防治

Prevalence and related factors of peptic ulcer among military personnel in the Gobi desert

目的:了解驻戈壁沙漠部队军人消化性溃疡(PU)的发病率及相关危险因素。方法:采用多阶段分层整群随机抽样的方法,对驻戈壁沙漠部队1 608名军人进行PU症状及危险因素问卷调查,并进行胃镜检查、Hp检测。结果:军人PU相关症状发生率(Sc≥5)15.3%,标化后的PU患病率8.21%,其中军龄≥5年、特种兵、边防兵PU患病率高。Hp感染(0R3.2)、胃病家族史(OR2.5)、持续高强度军事训练(OR2.3)、躯体创伤史(OR1.9)、菌痢史(OR1.9)、年龄(OR1.1)与PU症状发生的关系较大。性格和生活事件与PU发生无关。结论:军人PU患病率较低,有下降趋势;发病情况在不同军龄、兵种之间存在差别,Hp感染、胃病家族史、持续高强度军事训练、躯体创伤史、菌痢史等与军人PU的发生密切相关。

Objective：To investigate the prevalence and related factors of peptic ulcer（PU） among military men in the Gobi desert.Methods： With stratified multi-stage cluster randomly sampling method,a questionnaire survey was conducted among 1 608 soldiers garrisoned at northwest China for the PU symptoms and risk factors,along with the gastroscopy and Hp detections.Results： Incidence of PU correlative symptoms among the soldiers was 15.3% and the prevalence of PU was 8.21%.The Hp infection,family history for gastric disease,sustained intense training,history of body trauma and history of bacillary dyseutery seemed to be the main risk factors of PU.Conclusion： There is a low and descend incidence of PU among the soldiers.The Hp infection,family history,sustained intense training,history of body trauma and history of bacillary dyseutery have close relation with PU among the soldiers.