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目的调查了解寒区官兵功能性肠病(FID)的发生情况,为该地区卫勤保障提供依据。方法应用功能性胃肠病罗马(Rome)Ⅲ的诊断标准中的症状自评量表,以及焦虑自评量表(SAS)、抑郁自评量表(SDS)对北纬45°~50°驻军的650名官兵进行问卷调查。结果共收回622份有效问卷,FID发病率为29.9%,并按是否患FID分为FID组(186例)及非FID组(436例)。其中,肠易激综合征发病率为10.1%(63例),功能性腹胀发病率为5.3%(33例),功能性便秘发病率为6.1%(38例),功能性腹泻发病率为4.5%(28例),非特异性肠功能紊乱发病率为3.8%(24例)。腹胀、便秘、腹泻是发生频率最高的症状,且腹胀、腹泻在-20℃以下较-10℃、-20℃发生率明显升高,差异有统计学意义(P<0.05)。FID组焦虑、抑郁自评量表总分>40分者分别占13.4%和54.3%,高于非FID组官兵的6.65%和41.1%,差异有统计学意义(P<0.05)。结论寒区官兵FID发病率较高,以肠易激综合征最常见。腹痛、腹胀等功能性肠病的常见症状随温度的降低,发生率升高。寒冷诱发的FID对官兵有明显的心理影响。因此,现有的卫勤保障措施对寒区官兵FID的防治仍有待改善。
Objective To investigate the incidence of functional bowel disease (FID) in officers and soldiers in cold area and provide the basis for medical service support in this area. Methods The symptoms of functional gastrointestinal Rome (Rome Ⅲ), self-rating anxiety scale (SAS) and self-rating depression scale (SDS) 650 officers and men to conduct a survey. Results A total of 622 valid questionnaires were collected. The incidence of FID was 29.9%. FID was divided into FID group (186 cases) and non-FID group (436 cases) according to whether there was FID or not. Among them, the incidence of irritable bowel syndrome was 10.1% (63 cases), the incidence of functional bloating was 5.3% (33 cases), the incidence of functional constipation was 6.1% (38 cases), the incidence of functional diarrhea was 4.5 % (28 cases), the incidence of non-specific intestinal disorders was 3.8% (24 cases). Abdominal distension, constipation and diarrhea are the most frequent symptoms, and the incidence of abdominal distension and diarrhea is significantly higher than -10 ℃ and -20 ℃ below -20 ℃ (P <0.05). The scores of anxiety and depression self-rating scale in FID group were 13.4% and 54.3% respectively, which was higher than 6.65% and 41.1% in non-FID group (P <0.05). Conclusion The incidence of FID in the cold area is relatively high, and irritable bowel syndrome is the most common. Abdominal pain, abdominal distension and other symptoms of functional bowel disease with the temperature decreased, the incidence increased. Cold-induced FID has a clear psychological impact on officers and men. Therefore, the existing medical security measures for the prevention and treatment of FID in the cold area officers and soldiers still need to be improved.