云浮地区医护人员功能性消化不良的流行病学调查分析

Epidemiological survey and analysis on functional dyspepsia of the health care workers in Yunfu region

目的探讨云浮地区医护人员功能性消化不良(FD)的患病率及危险因素。方法用整群、随机抽样的方法,选择云浮地区新兴县人民医院等26所医院的1 728位医护人员(A组)及该地区的普通人员1 805人(B组)为调查对象,对其进行"罗马Ⅲ标准功能性消化不良调查问卷"调查,对比分析并重点探讨A组FD的时点患病率及危险因素。结果 (1)A、B两组比较,FD总患病率(34.95%vs 19.94%)、餐后不适综合征患病率(8.22%vs 4.88%)、上腹痛综合征患病率(9.20%vs 5.21%)、重叠型FD患病率(17.53%vs 9.86%)差异均有统计学意义(P<0.01)。(2)经多因素回归分析,A组睡眠障碍(OR=3.43)、进餐不定时(OR=3.28)、负性事件(OR=2.81)为最可能危险因素,以上3种因素OR值相应高于B组(OR分别为1.05,1.17,1.42)。结论云浮地区医护人员的FD患病率高于普通人群;睡眠障碍、进餐不定时、负性事件与医护人员的FD患病关系更为密切。

To explore the prevalence rate and risk factors of functional dyspepsia （FD） on the health care workers in Yunfu region. Methods Using cluster random sampling method, 1 728 health care workers （group A） from 26 hospitals including Xinxing County＇ s Hospital in Yunfu region, and 1 805 general population （ group B） in the same region were selected as the respondents, and to survey on the＂ Rome Ⅲ criteria＇ s functional dyspepsia investigating questionnaire＂. The two groups were comparatively analyzed and then we focused on the point prevalence and risk factors of group A with FD. Results （ 1 ） Comparison of group A and group B, there were significant differences in FD total prevalence （34.95% vs 19.94% ）, postprandial distress syndrome prevalence （8.22% vs 4.88% ）, upper abdominal pain syndrome prevalence （9.20% vs 5.21% ） and overlapping FD prevalence （ 17.53% vs 9.86% ） （P 〈0.01）. （2） By multivariate regression analysis, the most likely risk factors for FD including sleep disorders （OR = 3.43 ）, eating irregularly （ OR = 3.28 ） , negative events （ OR = 2.81 ）, the above three kinds of factors＇ OR values in group A were higher than the corresponding group B （ 1.05,1. 17,1.42）. Conclusion The occurrence of FD in the health care workers has a high prevalence than that in the general population in Yunfu region. Sleep disorders, eating irregularly, negative events are the close prevalence of the FD occurrence in the health care workers.