1.Hospital Department, 2. Department of Gastroenterology, 3. Department of Radiology, 4. Medical Service Department, Henan Provincial Corps Hospital of Chinese People’s Armed Police Force, Zhengzhou 450052, China
Abstract：Objective To investigate the prevalence of gastroesophageal reflux disease among medical officers and soldiers in a armed police hospital, and to analysis its possible factors.Methods The medical officers and soldiers in a armed police hospital from March 2019 to June 2019 were collected. And they were surveyed by questionnaire, which including GerdQ, symptoms, eating habits, psychosocial factors and so on. According to the survey result, calculating the prevalence of medical officers and soldiers, and analysis the influence factors of GERD.Results The armed police officers and soldiers of GERD patients accounted for 23.38%(278/1189). There is no obvious correlation between the occurrence of GERD and the length of military service. But it is obviously correlated with their posts,with statistically significant difference (P<0.05).Armed police officers and soldiers of GERD with external esophageal symptoms or disease was higher than that of non-GERD, and the difference was statistically significant (P<0.05). The GERD group was significantly higher than the non-gerd group in smoking, eating too much and spicy food, staying up late and other bad eating habits, and the difference was statistically significant(P<0.05).Multivariate Logistic analysis showed smoking (OR 3.582, 95%CI 1.282-10.897), eating too much(OR 1.419, 95%CI 1.176-2.988), eating spicy food (OR 3.761, 95%CI 1.523-8.845), eating dessert (OR 2.533,95%CI 1.477-4.342)could be independent risk factors for GERD,which was statistically significant (P<0.05).Conclusions The clinical manifestations of GERD patients of armed police officers and soldiers are diversified, which is easy to be misdiagnosed and missed. If not receive timely diagnosis and treatment, It can affect their quality of life seriously. Poor living habits will affect the prevalence of GERD among armed police officers and soldiers.
Nakabayashi T,Mochiki E,Kamiyama Y,et al.Impact of gastropyloric motor activity on the genesis of reflux esophagitis after an esophagectomy with gastric tube reconstruction[J].Amn Thorac Surg,2013,96(5):1833-1839.
[2]
Petrick J L,Nguyen T,Cook M B.Temporal trends of esophageal disorders by age in the Cerner Health Facts database[J].Ann Epidemiol,2016,26(2):151-154.
[3]
El-Serag H B,Sweet S, Winchester C C,et al.Update on the epidemiology of gastroesophageal reflux disease: a systematic review [J].Gut,2014,63:871-880.
[4]
Vossoughinia H,Salari M,Amirmajdi E M,et al.An epidemiological study of gastroesophageal reflux disease and related risk factors in urban population of Mashhad Iran[J].Iran Red Crescent Med J,2014,16(12):e15832.
Meyer K C.Gastroesophageal reflux and lung disease[J].Expert Rev Respir Med,2015,9(4):383-385.
[8]
Zalvan C H,Hu S, Greenberg B,et al. A comparison of alkaline water and mediterranean diet vs proton pump inhibition for treatment of laryngopharyngeal reflux[J].JAMA Otolaryngol Head Neck Surg,2017,143:1023-1029.
[9]
Matsuzaki J,Suzuki H, Kobayakawa M,et al.Association of visceral fat area, smoking, and alcohol consumption with reflux esophagitis and Barrett's Esophagus in Japan[J].PLoS One,2015,10(7) :e0133865.
[10]
Pointer S D,Rickstrew J,Slaughter J C,et al. Dietary carbohydrate intake, insulin resistance and gastro-oesophageal reflux disease:a pilot study in european-and African-American obese women[J].Aliment Pharmacol Ther,2016,44:976-988.
Kim H I,Hong S J,Han J P,et al.Specific movement of esophagus during transient lower esophageal sphincter relaxation in gastroesophageal reflux disease[J].J Neurogastroenterol Motil,2013,19:332-337.
[13]
Newberry C,Lynch K. The role of diet in the development and management of gastroesophageal reflux disease:why we feel the burn[J].J Thorac Dis,2019,11(12) :S1594-S1601.
[14]
Mone I,Kraja B,Bregu A,et al.Adherence to a predominantly mediterranean diet decreases the risk of gastroesophageal reflux disease:a cross-sectional study in a south eastern european population[J].Dis Esophagus,2016,29:794-800.
2019, Vol. 30 
