目的 探讨武警某部站岗执勤战士功能性胃肠疾病(furnctional gastrointestinal disorders,FGIDs)的发病情况及相关因素,为制定相应的预防、治疗措施提供依据。方法 根据FGIDs罗马Ⅲ分类及诊断标准设计问卷,对武警某部站岗执勤战士进行流行病学问卷调查。结果 (1)抽查战士520人,FGIDs总发病人数131人,总发病率为25.19 %(131/520)。其中肠易激综合征发病率最高(13.27%),其他患病率依次为功能性消化不良(6.54%)、功能性便秘(5.58%)、功能性烧心(3.27%)、功能性腹胀(3.26%)、功能性腹痛综合征(3.08%)。慢性肛痛、胆囊及奥狄括约肌(sphincter of Oddi,SO)功能紊乱发病率较低,均不到1%;各大类FGIDs发病率中,排在前3类的依次为功能性肠病(23.26%)、功能性胃十二指肠疾病(18.85%)、功能性食管疾病(5.57%)。(2)在患有FGIDs的131例中,有睡眠障碍占52.67%,有心理障碍占46.56%,差异均有统计学意义(P＜0.01);有不良饮食习惯占29%,高于非FGIDs的战士群体,但差异无统计学意义 (P＞0.05);军龄、血型、受教育水平、家族史及不同民族比较,差异无统计学意义(P＞0.05)。(3)发病的131例中,有52例表现为两种或两种以上症状,即FGIDs的症状重叠率为39.7%(52/131)。结论 武警某部站岗执勤战士的FGIDs总体发病率高于普通人群,睡眠、心理障碍等因素与FGIDs有关。

Objective To investigate furnctional gastrointestinal diseases(FGIDs) in armed police on stand guard and on duty, the incidence and related factors, thereby taking appropriate prevention and treatment measures. Methods A questionnaire was designed according to FGIDs Rome III classification and diagnosis standard, for epidemiological survey of sentry duty soldiers in armed police forces. Results (1) Of 520 examined , the total number of patients with FGIDs was 131, the total incidence rate was 25.19% (131/520). The prevalence of irritable bowel syndrome was the highest (13.27%), others were functional dyspepsia (6.54%), functional constipation (5.58%), functional heartburn (3.27%), functional abdominal distension (3.26%), functional abdominal pain syndrome (3.08%), chronic anal pain, gallbladder and Oddi,s sphincter dysfunction incidence is low, less than 1%; The FGIDs incidence ranking in the top three were functional bowel disorders (23.26%), functional gastroduodenal diseases (18.85%), and functional esophageal diseases (5.57%). (2) Among 131 patients with FGIDs, those having sleep disorder accounted for 52.67%, psychological disorder accounted for 46.56%, compared with the non - FGIDs group, the differences were statistically significant (P<0.01); those having bad eating habits accounted for 29%, higher than the FGIDs fighter group, but the difference was not statistically significant (P>0.05). By comparison ,there were no significant differences in age, blood group, educational level, family history, and ethnic groups (P>0.05). (3) Of 131 patients, 52 developed two or more than two symptoms, overlapping rate of FGIDs symptoms was 39.7% (52/131). Conclusions In armed police on stand guard and on duty, overall incidence of FGIDs is higher than that in general population. Sleep and mental disorders are associated with FGIDs.