陆军某部官兵功能性胃肠病对睡眠质量的影响

Effects of Functional Gastrointestinal Disorders on Sleep Quality of Army Soldiers

目的探讨在中部战区解放军陆军某部官兵功能性胃肠病(functional gastrointestinal disorders,FGIDs)对睡眠质量的影响。方法采用整群分层随机抽样方法,应用FGIDs罗马Ⅲ调查问卷,进行FGIDs的分类和诊断。采用匹兹堡睡眠质量指数量表(Pittsburgh sleep quality index questionnaire,PSQI)评价睡眠状况。结果 739例调查对象中,348例官兵患FGIDs(FGIDs组),391例患者无FGIDs(无FGIDs组)。7种常见FGIDs依次为非特异性功能性肠病、功能性消化不良、周期性呕吐综合征、痉挛性肛门直肠疼痛、肠易激综合征、功能性腹胀和嗳气。与无FGIDs组相比,FGIDs组的睡眠质量、入睡时间、日间功能障碍和PSQI总分差异具有统计学意义(P<0.01或P<0.05)。除功能性腹胀外,其他6种常见FGIDs睡眠障碍因子得分比无FGIDs组明显升高(P<0.01)。与单一FGIDs相比,FGIDs重叠官兵睡眠障碍更明显,主要表现在入睡时间、日间功能障碍和PSQI总分比例方面差异具有统计学意义(P<0.05)。Spearman相关分析提示睡眠质量、入睡时间、睡眠时间、睡眠障碍、日间功能障碍和PSQI总分与FGIDs重叠存在显著相关(P<0.05)。结论陆军某部官兵睡眠异常情况较普遍,罹患FGIDs使官兵睡眠障碍加重,FGIDs重叠者睡眠障碍更明显。

Objective To analyze the effects of functional gastrointestinal disorders （FGIDs） on sleep qualities of army soldiers in the middle region. Methods Aquestionnaire survey was conducted in army soldiers by stratified random cluster sampling method, FGIDs were diagnosed by Rome Ⅲ Modular Questionnaire and sleep quality was evaluated by Pittsburgh sleep quality index questionnaire （PSQI）. Results A total of 739 registered subjects, 348 were classified as FGIDs group, and 391 were non-FGIDs group. The seven common FGIDs _were listed as followed： unspecific functional bowel disorder, functional dyspepsia, cyclic vomiting syndrome, proctalgia fugax, irritable bowel syndrome, functional bloating and belching disorders. Compared with non-FGIDs group, the sleep quality, sleep latency, daytime functional disorder and PSQI total scores were higher in FGIDs group（P〈0. 01 or P〈0. 05）. Except for functional bloating, the other 6 common FGIDs had significatly higher scores on sleep disturbance （P〈0. 01）. Soldiers with overlapped FGIDs had more somnipathy（P〈0. 05）, and major performance were sleep latency, daytime functional disorder, higher PSQI total scores. Spearman correlation analysis indicated that sleep quality, sleep latency, sleep time, sleep disturbance, day- time functional disorder and PSQI total scores were significantly correlated with overlapped FGIDs（P〈0. 05）. Conclusion Parahypnosis is common to army officers and soldiers. Sleep disturbance is aggravated by soldiers with FGIDs, over- lapped FGIDs even more.