目的 了解驻南方某部官兵痔患病率及其影响因素。方法 于2019-04至2022-19,对南方地区某部队官兵体检时进行问卷调查和肛门检查,问卷为自制《部队官兵肛肠疾病相关调查表》,采用SPSS 22.0软件进行χ2检验和多因素logistic回归统计分析。结果 共纳入调查对象1251名,其中痔患者165例,痔患病率为13.2%;单因素分析显示,生活状况、饮酒情况、肛周清洗情况、抑制便意情况、排便时长、排便次数、久坐久站情况、不同职位、服役年限等是痔患病率的影响因素(P＜0.05),而负重训练情况、蔬菜水果摄入情况、运动强度等方面不是痔患病率的影响因素。多因素logistic回归分析结果显示,有抑制便意情况(OR=4.880,95%IC:3.082～7.727)、排便时间长>10min(OR=15.363,95%IC:7.655～30.833)、排便次1～2次/日(OR=2.227,95%IC:1.203～4.124)、排便次>2次/日(OR=12.752,95%IC:5.830～27.893)、有久坐久站情况(OR=1.657,95%IC:1.063～2.638)为痔患病的危险因素,肛周清洗>5次/周情况为保护因素(OR=0.368,95%IC:0.156～0.870)。结论 南方某部队官兵痔患病率为13.2%,患病与肛周清洗情况、抑制便意情况、排便时长、排便次数、久坐久站等因素相关。
Abstract
Objective To investigate the prevalence rate and its influencing factors of hemorrhoids among officers and soldiers in southern China. Methods From April 2019 to September 2022, a questionnaire survey and anal examination were conducted during the physical examination of officers and soldiers in a military unit in southern region. The questionnaire was a self-made “Investigation Form on Colorectal Diseases in Military Officers and Soldiers”, and SPSS2.0 software was used for chi-square test and multivariate logistic regression statistical analysis. Results A total of 1251 survey subjects were included in the survey, including 165 hemorrhoid patients, and the prevalence rate of hemorrhoids was 13.2%. Univariate analysis showed that living conditions, alcohol consumption, perianal cleaning, suppression of bowel movements, duration and frequency of defecation, prolonged sitting and standing, different positions, and years of service were all factors affecting the prevalence of hemorrhoids (P＜0.05), while weight-bearing training, vegetable and fruit intake, and exercise intensity were not factors affecting the incidence of hemorrhoids. Multivariate logistic regression analysis showed that inhibition of defecation (OR=4.880, 95%IC: 3.082-7.727), long defecation time >10 min (OR=15.363, 95%IC: 7.655-30.833), defecation 1-2 times/day (OR=2.227, 95%IC: 1.203-4.124), defecation >2 times/day (OR=12.752, 95%IC: 5.830-27.893), and prolonged sitting and standing (OR=1.657, 95%IC: 1.063-2.638) were risk factors for hemorrhoids, while perianal cleaning >5 times/week was a protective factor (OR=0.368, 95%IC: 0.156-0.870). Conclusions The prevalence rate of hemorrhoids among officers and soldiers is 13.2%, which is related to factors such as perianal cleaning, inhibition of bowel movements, duration and frequency of defecation, and prolonged sitting and standing.
关键词
痔 /
影响因素 /
特殊人群
Key words
hemorrhoids /
influencing factors /
special populations
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