驻徐部队变应性鼻炎流行病学调查及分析

Epidemiological investigation and analysis of allergic rhinitis in troops stationed in Xuzhou

目的调查驻徐部队变应性鼻炎(AR)的流行病学特征,分析其相关危险因素及对官兵睡眠、生活及训练的影响。方法 2011年3-4月,随机整群抽取驻徐部队官兵1030人为研究对象,设计调查问卷。调查分两阶段,首先进行问卷调查,然后对根据问卷结果筛选出的AR可疑对象进行临床检查予以确诊。结果共发放问卷1052份,回收有效问卷1030份。驻徐部队官兵AR整体患病率为17.1%,男、女发病率分别为17.0%、18.8%,差异无统计学意义(P=0.731)。合并支气管哮喘等变应性疾病以及家族史与AR发生密切相关,为其重要的危险因素(OR=0.967,P=0.001;OR=2.098,P<0.001)。44.9%的AR患者认为其睡眠受影响,75.6%的AR患者生活、训练受到影响。结论 AR在驻徐部队官兵中的发病率较高,家族史、合并其他变应性相关疾病增加了其发病危险性,并对官兵的生活训练休息造成重大影响,合理防治AR具有重要的军事价值和意义。

Objective To investigate the epidemiology of allergic rhinitis（AR） in troops stationed in Xuzhou,and to analyze its associated risk factors and influence on sleep patterns,life quality,and training of officers and soldiers.Methods A randomly chosen sample of 1030 servicemen stationed in Xuzhou from March to April 2011 served as the subjects of this study.The study was conducted in two phases： first,a questionnaire survey was undertaken.Those suspected to have AR,discovered through the questionnaire results,were finally diagnosed by clinical examination.Results Up to 1052 questionnaires were issued,among which 1030 questionnaires were deemed valid.The overall incidence of AR in troops stationed in Xuzhou was 17.1%.The incidence in male and female was 17.0% and 18.8%,respectively,and there was no significant difference（P=0.731）.Bronchial asthma and other allergic diseases,along with family history,were closely related to the occurrence of AR.Therefore they were identified to be the important risk factors for AR（OR=0.967,P=0.001;OR=2.098,P〈0.001）.Approximately 44.9% of the patients felt that AR affected their sleep,whereas 75.6% felt the condition affected their life quality and training.Conclusions There is a higher prevalence of AR in troops stationed in Xuzhou.Family history,other allergic diseases are found to be related to increased risk of affection of AR,and there is a significant impact on quality of life,training and rest of soldiers.Reasonable control of AR has important military implication and significance.