海军长远航官兵胃食管反流病的流行病学调查与干预措施

Epidemic research on the incidence of gastroesophageal reflux disease in navy shipboard personnel with prolonged deployment at sea and related intervention measures

目的调查执行长远航任务的海军官兵中胃食管反流病(gastroesophageal reflux disease,GERD)的发病率,分析与之相关的危险因素并提出干预措施。方法应用随机整群抽样的方法,对1871名海军官兵进行GerdQ量表及危险因素问卷调查,GerdQ积分≥8分提示GERD诊断,并采用多因素的Logistic回归分析法分析GERD的危险因素。结果海军长远航官兵胃食管反流病的发病率高达27.1%,显著高于国内普通人群的5.77%,差异有统计学意义(P<0.01);但症状重者比例较少,占2.6%。工作强度大、吸烟、饮酒、高脂饮食、晕船为胃食管反流病的危险因素。结论执行长远航任务的海军官兵GERD患病率高,危险因素多。制定科学合理的干预措施,对保障海军官兵的身心健康,增强部队的战斗力有重要意义。

Objective To investigate the incidence of gastroesophageal reflux disease （GERD） in navy shipboard personnel with prolonged deployment at sea, and to analyze related risk factors and finally to propose intervention measures against the disease. Methods Random cluster sampling was used to investigate the 1871 navy personnel with GerdQ and associated risk factor question- naire. When GerdQ scores were ≥8, it was necessary to make GERD diagnosis. Multi factor Logistic regression analysis was also used to analyze risk factors associated with GERD. Results The incidence of GERD among the navy shipboard personnel reached 27.1% , which was obviously higher than that of the general Chinese population （5.77%） （P 〈 0.01 ）. However, a few serious cases were not- ed, accounting for only 2.6%. Great work intensity, smoking, drinking, high fat diet and seasickness were main risk factors of the dis- ease. Conclusion Navy shipboard personnel with prolonged deployment at sea had high morbidity of GERD and were usually encoun- tered with many risk factors. Scientific and rational intervention measures should be developed, so as to ensure the psychosomatic health of officers and sailors, and it was of great significance for the improvement of battle effectiveness of the afloat fighting units.