夏菁,蔡伟萍,刘新尧,田光.热带岛屿工作人员功能性消化不良发病及疗效分析[J].转化医学杂志,2019,8(2):110-111
热带岛屿工作人员功能性消化不良发病及疗效分析
Analysis of morbility and curative effect of functional dyspepsia in tropical island
  
DOI:
中文关键词:  热带岛屿工作人员  功能性消化不良  流行病学调查  影响因素  干预治疗  疗效
英文关键词:Tropical island staff  Functional dyspepsia (FD)  Epidemic investigation  Impact factor  Therapeutic intervention  Curative effect
基金项目:全军医药卫生科研项目(CHJ11J017)
作者单位
夏菁 解放军总医院第六医学中心 
蔡伟萍 解放军总医院第六医学中心 
刘新尧 解放军总医院第六医学中心 
田光 解放军总医院第六医学中心 
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中文摘要:
      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。
英文摘要:
      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.
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