热带岛屿工作人员功能性消化不良发病及疗效分析
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摘要
目的调查在热带岛屿工作期间人员功能性消化不良(functional dyspepsia,FD)的发病情况并分析影响因素,相应给予干预治疗后观察疗效。方法采用整群抽样方法,按照功能性胃肠疾病罗马Ⅲ分类及诊断标准,调查驻岛人员FD的发病率及影响因素;将入组人员随机分为治疗组和对照组,对照组给予吗丁啉、多酶片对症治疗,治疗组在对照组基础上给予合理饮食、养成良好的作息及生活习惯等健康教育。3个月后进行回归性调查,了解治疗效果。结果热带岛屿工作人员FD发病率为12. 77%,2个亚型发病率(上腹痛综合征6. 79%,餐后不适综合征6. 58%)差异比较无统计学意义(P>0. 05);值班频度、高温高湿工作环境、吸烟、饮酒是FD发病的相关影响因素(P<0. 05)。干预治疗后,治疗组有效率(66. 67%)明显高于对照组(34. 78%)(χ2=5. 146,P=0. 021)。结论 FD发病与工作紧张度、特殊工作环境及一些不良生活习惯呈正相关,通过系统的健康教育同时配合药物治疗可有效地控制FD发病。
Objective To investigate morbility and therapeutic effect of functional dyspepsia( FD) and its main influential factors in tropical island staff. Methods Using cluster sampling method to investigate the morbility of FD and its main influential factors in accordance with functional gastrointestinal disorders of Rome Ⅲ Classification And Diagnostic Criteria. Personnel of onset were divided randomly into treatment and control group. Control group was treated with Domperidone and Polyzyme tablets,treatment group was accepting health education on the basis of treatment group to help them from a good working and living habits with specified health manuals. After three months of retrospective study,the data was used to contrast the treatment effects. Results The investigation results show that the morbility of FD was 12. 77%,the morbility of 2 subtypes had no significant difference( epigastric pain syndrome 6. 79%,postprandial distress syndrome 6. 58%,P > 0. 05).The analysis shows that the values of frequency,high temperature and high humidity environment,smoking,drinking were the influencing factors of the pathogenesis of FD( P < 0. 05). The curative effect rate of the treatment group( 66. 67%) was significantly higher than control group( 34. 78%)( χ2= 5. 146,P = 0. 021). Conclusion The results show that the incidence of FD was positively correlated with job stress,special working environment and some bad habits,and the incidence of FD could be effectively controlled through systematic health education combined with drug therapy.
Objective To investigate morbility and therapeutic effect of functional dyspepsia( FD) and its main influential factors in tropical island staff. Methods Using cluster sampling method to investigate the morbility of FD and its main influential factors in accordance with functional gastrointestinal disorders of Rome Ⅲ Classification And Diagnostic Criteria. Personnel of onset were divided randomly into treatment and control group. Control group was treated with Domperidone and Polyzyme tablets,treatment group was accepting health education on the basis of treatment group to help them from a good working and living habits with specified health manuals. After three months of retrospective study,the data was used to contrast the treatment effects. Results The investigation results show that the morbility of FD was 12. 77%,the morbility of 2 subtypes had no significant difference( epigastric pain syndrome 6. 79%,postprandial distress syndrome 6. 58%,P > 0. 05).The analysis shows that the values of frequency,high temperature and high humidity environment,smoking,drinking were the influencing factors of the pathogenesis of FD( P < 0. 05). The curative effect rate of the treatment group( 66. 67%) was significantly higher than control group( 34. 78%)( χ2= 5. 146,P = 0. 021). Conclusion The results show that the incidence of FD was positively correlated with job stress,special working environment and some bad habits,and the incidence of FD could be effectively controlled through systematic health education combined with drug therapy.
引文
[1]陈玉龙.慢性胃炎与功能性消化不良诊治的心身医学观[J].中华消化杂志,2015,35(9):577-579.
[2]孙涛,夏菁,李欣,等.海军基层部队官兵功能性胃肠疾病调查及相关因素分析[J].解放军医学杂志,2013,38(5):420-422.
[3]吕伟,李艳君,夏菁,等,枯草杆菌二联活菌肠溶胶囊联合莫沙必利对长航人员功能性便秘疗效观察[J].转化医学杂志,2017,6(2):103-105.
[4] Tack J,Talley NJ,Camilleri M,et al.Functional gastroduodenal disorders[J].Gastroenterology,2006,130(5):1466-1479.
[5] Longstreth GF,Thompson WG,Chey WD,et al.Functional bowel disorders[J]. Gastroenterology,2006,130(5):1480-1491.
[6]郭庆捷,曹泽伟.功能性胃肠病的研究进展[J].现代中西医结合杂志,2010,19(10):1297-1299.
[7]陈立亚,刘畅,汪芳裕.肠易激综合征与肠道微生态及脑-肠轴关系的研究进展[J].胃肠病学和肝病学杂志,2017,26(5):491-495.
[8]杨昌妮,刘纯伦.精神心理因素与功能性消化不良的相关性研究进展[J].重庆医学,2015,44(15):2129-2131.
[9]夏菁,曹悦鞍,彭朝胜,等.不同地区舰艇人员功能性肠疾病发病现状及相关因素研究[J].转化医学杂志,2014,3(4):220-223.
[10]夏菁,张雅茗,鲁静,等.长航期间船员功能性消化不良发病情况及相关因素分析[J].中国急救复苏与灾害医学杂志,2012,7(2):181-182.
[11]夏菁,孙涛,杜欣,等.亚丁湾护航官兵功能性胃肠疾病相关因素分析及对策研究[J].中国急救复苏与灾害医学杂志,2014,9(4):298-299,305.
[12]蔡伟萍,夏菁,支晨,等.生活方式干预对长航人员功能性胃肠疾病的效果研究[J].中国急救复苏与灾害医学杂志,2013,8(8):731-733.
[2]孙涛,夏菁,李欣,等.海军基层部队官兵功能性胃肠疾病调查及相关因素分析[J].解放军医学杂志,2013,38(5):420-422.
[3]吕伟,李艳君,夏菁,等,枯草杆菌二联活菌肠溶胶囊联合莫沙必利对长航人员功能性便秘疗效观察[J].转化医学杂志,2017,6(2):103-105.
[4] Tack J,Talley NJ,Camilleri M,et al.Functional gastroduodenal disorders[J].Gastroenterology,2006,130(5):1466-1479.
[5] Longstreth GF,Thompson WG,Chey WD,et al.Functional bowel disorders[J]. Gastroenterology,2006,130(5):1480-1491.
[6]郭庆捷,曹泽伟.功能性胃肠病的研究进展[J].现代中西医结合杂志,2010,19(10):1297-1299.
[7]陈立亚,刘畅,汪芳裕.肠易激综合征与肠道微生态及脑-肠轴关系的研究进展[J].胃肠病学和肝病学杂志,2017,26(5):491-495.
[8]杨昌妮,刘纯伦.精神心理因素与功能性消化不良的相关性研究进展[J].重庆医学,2015,44(15):2129-2131.
[9]夏菁,曹悦鞍,彭朝胜,等.不同地区舰艇人员功能性肠疾病发病现状及相关因素研究[J].转化医学杂志,2014,3(4):220-223.
[10]夏菁,张雅茗,鲁静,等.长航期间船员功能性消化不良发病情况及相关因素分析[J].中国急救复苏与灾害医学杂志,2012,7(2):181-182.
[11]夏菁,孙涛,杜欣,等.亚丁湾护航官兵功能性胃肠疾病相关因素分析及对策研究[J].中国急救复苏与灾害医学杂志,2014,9(4):298-299,305.
[12]蔡伟萍,夏菁,支晨,等.生活方式干预对长航人员功能性胃肠疾病的效果研究[J].中国急救复苏与灾害医学杂志,2013,8(8):731-733.