震后灾区居民胃肠道应激症状现况调查
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摘要
目的探讨"5.12汶川大地震"后灾区居民应激性胃肠道反应发生情况。方法分别抽取汶川县及都江堰等重灾区受灾居民3006人进行横断面流行病学调查。结果震后当地居民应激性胃肠道反应的患病率为31.21%,其中少年儿童(≤14岁)为30.25%,青年(15~45岁)为29.48%,中年(46~59岁)为34.99%,老年(≥60岁)为32.68%。分层分析发现,年龄因素与应激性胃肠道反应没有明显统计学关联(χ2=6.66,P>0.05);除少年儿童组外,青年组、中年组及老年组女性居民胃肠道应激症状患病率显著高于男性,差异有统计学意义(P<0.05)。结论突发性灾难事件可对受灾居民身心健康造成不同程度影响,应进一步加强对重点人群的关注。
Objective To investigate the influence of a catastrophic event of "5·12 serious earthquake in Wenchuan County" to the stress-gastrointestinal response as well as the relative factors in in the local inhabitants.Methods The analysis of descriptive epidemiology on the spot was made in 3006 servicemen who were living in the disaster area of Wenchuan county and Dujiangyan city.Results The prevalence of stress-gastrointestinal response was overall 31.21% in the local inhabitants,in which the respectively prevalence was 30.25%,29.48%,34.99% and 32.68% in the child(≤14 years),youth(15-45 years),adult(46-59 years)and aged group(≥60 years).By the analysis of stratified statistics,there was no significance between age and stress-gastrointestinal response(χ2=6.66,P>0.05).However,the prevalence of stress-gastrointestinal response was shown more significant in the female inhabitants than the male ones except the child group(P<0.05).Conclusion The physical and mental health of inhabitants who experienced a catastrophic earthquake disaster was harmed in some degrees,and the corresponding measures should be made in the medication or mental intervention for the susceptible population.
Objective To investigate the influence of a catastrophic event of "5·12 serious earthquake in Wenchuan County" to the stress-gastrointestinal response as well as the relative factors in in the local inhabitants.Methods The analysis of descriptive epidemiology on the spot was made in 3006 servicemen who were living in the disaster area of Wenchuan county and Dujiangyan city.Results The prevalence of stress-gastrointestinal response was overall 31.21% in the local inhabitants,in which the respectively prevalence was 30.25%,29.48%,34.99% and 32.68% in the child(≤14 years),youth(15-45 years),adult(46-59 years)and aged group(≥60 years).By the analysis of stratified statistics,there was no significance between age and stress-gastrointestinal response(χ2=6.66,P>0.05).However,the prevalence of stress-gastrointestinal response was shown more significant in the female inhabitants than the male ones except the child group(P<0.05).Conclusion The physical and mental health of inhabitants who experienced a catastrophic earthquake disaster was harmed in some degrees,and the corresponding measures should be made in the medication or mental intervention for the susceptible population.
引文
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[2]Locke GR,Weaver AL,Melton LJ,et al.Psychosocial factors arelinked to functional gastrointestinal disorders:a population basednested case-control study[J].Am J Gastroenterol,2004,99(2):350-357.
[3]Levy RL,Olden KW,Naliboff BD,et al.Psychosocial aspects ofthe functional gastrointestinal disorders[J].Gastroenterology,2006,130(5):1447-1458.
[4]韩聚强,李恕军,杨永红,等.“5.12汶川大地震”重灾区居民身心健康现况流行病学调查[J].中华医学杂志,2008,23(47):3329-3331.
[5]Drossn DA.The functional gastrointestinal disorder and the Romeprocess[J].Gastroenterology,2006,130(5):1377-1390.
[6]陈继红,罗和生,魏少忠,等.功能性消化不良症状严重程度的心理学因素[J].中华消化杂志,2001,21(9):436-437.
[7]石长杰,李卫晖,李凌江.精神应激所致胃溃疡的生物学机制[J].国际精神病学杂志,2006,33(2):119-122.
[8]李明杰,郑英键.对“应激性溃疡”的再认识[J].中国普通外科杂志,2006,15(9):702-704.
[9]萧树东,许国铭,李兆申,等.应激性溃疡防治建议[J].中华医学杂志,2002,82(14):1000-1001.
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