干预措施对海军某部官兵功能性便秘发病率的影响及疗效

摘要
图/表
参考文献
相关文章 (15)

全文: PDF (820 KB)
输出: BibTeX | EndNote (RIS)

摘要目的采取干预措施降低海军功能性便秘(functionalconstipation，FC)的发病率，保障部队战斗力。方法2010-06至2010-12以整群随机抽样的方法调查海军某部官兵2925例。其中1452例为干预治疗组，1473例为对照组。调查问卷采用罗马Ⅲ标准流行病学调查问卷(RomeⅢ-MQ)，并参照SF-36生活质量量表(HRQOL)进行生活质量评判。8周后分析FC发病率及大便次数、性状积分变化。结果海军某部官兵功能性便秘的发病率高达12.14%，显著高于国内普通人群的6.07%(P<0.01)。经干预治疗后治疗组的功能性便秘发病率及大便次数、性状积分明显降低(P＜0.05)。结论科学合理的干预措施可显著降低海军某部官兵FC的患病率，对保障海军官兵的身心健康，增强部队的战斗力有重要意义。

	服务

	把本文推荐给朋友
	加入我的书架
	加入引用管理器
	E-mail Alert
	RSS
	作者相关文章
	王晓辉
	崔立红
	闫志辉
	贺星
	李超
	浦江
	刘超群
	付山峰

关键词 ：功能性便秘, 干预治疗, 调查

Abstract：Objective To conduct intervention treatment to reduce the incidence of functional constipation(FC) in navy, ensuring their battle effectiveness. Methods From June 2010 to December 2010, 2925 servicemen in navy unit were investigated by multi-stage stratified random cluster sampling with questionnaire.1452 were in intervention treatment group, while 1473 were in control group. We chose the Rome Ⅲ standard epidemiological survey (Rome Ⅲ-MQ) and did life quality evaluation using the SF-36 life quality scale (HRQOL). Eight weeks later, we analyzed the change in FC incidenct, the bowel movement frequency and characteristics. Results The FC incidence in a navy unit was high up to 12.33%, much higher than the that in domestic general group (P<0.01). After intervention treatment, the incidence of FC in intervention treatment group was brought down significantly.Conclusion Intervention treatment significantly reduces inciolence of FC in that unit, and is important to ensure the physical and mental health of navy soldiers and to finally improve the battle effectiveness.

Key words： navy functional constipation intervention treatment

收稿日期: 2013-02-13

ZTFLH:

R57

基金资助:

海军后勤科研计划课题BHJ09JD12

通讯作者: 崔立红，E-mail: luckycui861@sina.com

作者简介: 王晓辉，硕士，主治医师，E-mail: wangxiaohui9727@sohu.com

引用本文:

王晓辉,崔立红,闫志辉,贺星,李超,浦江,刘超群,付山峰. 干预措施对海军某部官兵功能性便秘发病率的影响及疗效[J]. 武警医学, 2013, 24(7): 593-596. WANG Xiaohui,CUI Lihong,YAN Zhihui,HE Xing,LI Chao,PU Jiang,LIU Chaoqun,and FU Shanfeng.. Effect of intervention treatment on functional constipation in a navy unit and analysis of curative effect. Med. J. Chin. Peop. Armed Poli. Forc., 2013, 24(7): 593-596.

链接本文:

http://journal08.magtechjournal.com/Jwk_wjyx/CN/ 或 http://journal08.magtechjournal.com/Jwk_wjyx/CN/Y2013/V24/I7/593

[7]	王慧芬,赵洪川.功能性便秘与心理因素及自主神经功能相关性的研究进展[J].国际消化病杂志, 2007,27(3):180-181.
[8]	张小蓉.功能性便秘的预防和护理进展[J].右江医学,2011,39(4):520-522.
[1]	Longstreth G F,Thompson W G,Chey W D,et al. Functional bowel disorders[J].Gastroenterology,2006,130(5):1480-1491.
[9]	杨国堂.马来酸曲美布汀治疗肠易激综合征效果观察[J].齐鲁医学杂志,2008,23(1) :74-75.
[2]	阚志超,姚宏昌,龙治平,等.天津市成年人慢性便秘调查及相关因素分析[J].中华消化杂志, 2004, 24(10):612-614.
[10]	方秀才,柯美云,胡品津,等.聚乙二醇4000治疗成人功能性便秘疗效及安全性评价[J].中国新药杂志,2002,11(6):479- 483.
[3]	郭晓峰,柯美云,潘国宗,等.北京地区成人慢性便秘整群、分层、随机流行病学调查及其相关因素分析[J].中华消化杂志,2002,22(10):637-638.
[11]	郭守玉,符发年.慢性功能性便秘诊断治疗体会[J].中国社区医师,2011,13(262):47- 48.
[12]	李艳青,于岩波.功能性便秘的诊断与治疗[J].中国实用内科杂志, 2011 ,31(2) :158-160.
[4]	董艳艳,李延青,左秀丽.山东某高校大学生肠易激综合征与功能性便秘的流行病学调查[J]. 山东大学学报(医学版),2010, 48(6):122-125.
[5]	Zhao Y F, Ma X Q, Wang R, et al. Epidemiology of functional constipation and comparison with constipation predominant irritable bowel syndrome: the Systematic Investigation of Gastrointestinal Diseases in China (SILC)[J]. Aliment Pharmacol Ther, 2011, 34 (8): 1020-1029.
[13]	刘蔚,张连峰,张宇恒.功能性便秘发病相关因素干预试验[J].医药论坛杂志,2010,31(2) :47-49.
[6]	张丹,夏志伟.功能性便秘的罗马Ⅲ标准[J].中国医刊,2008,43(12):63-64.
[14]	林征,朱芬芬,林琳.功能性便秘与精神因素的研究进展[J].中国胃肠病学杂志,2008,13(2) : 118-120.
[7]	王慧芬,赵洪川.功能性便秘与心理因素及自主神经功能相关性的研究进展[J].国际消化病杂志, 2007,27(3):180-181.
[8]	张小蓉.功能性便秘的预防和护理进展[J].右江医学,2011,39(4):520-522.
[15]	Murray C D, Flynn J, Ratcliffe L, et al. Effect of acute physical and psychological stress on gut autonomic innervation in irritable bowel syndrome [J]. Gastroenterology, 2004, 127 (6) : 1695-1703.
[9]	杨国堂.马来酸曲美布汀治疗肠易激综合征效果观察[J].齐鲁医学杂志,2008,23(1) :74-75.
[10]	方秀才,柯美云,胡品津,等.聚乙二醇4000治疗成人功能性便秘疗效及安全性评价[J].中国新药杂志,2002,11(6):479- 483.
[16]	Merkel I S,Locker J,Burgio K,et al.Physiologic and psychologic characteristics of elderly population with chronic constipation[J]. Am J Gastroenterol ,1993,88(11):1854-1859.
[11]	郭守玉,符发年.慢性功能性便秘诊断治疗体会[J].中国社区医师,2011,13(262):47- 48.
[12]	李艳青,于岩波.功能性便秘的诊断与治疗[J].中国实用内科杂志, 2011 ,31(2) :158-160.
[13]	刘蔚,张连峰,张宇恒.功能性便秘发病相关因素干预试验[J].医药论坛杂志,2010,31(2) :47-49.
[17]	WANG Junping, DUAN Liping, YE Hongjun, et al.Assessment of psychological status and quality of life in patients with functional constipation [J].Chinese Journal of InternalM edicine,2008,47(6): 460-461.
[18]	Jun D W,Park H Y, Lee O Y, et al. A population based study on bowel habits in a Korean community :prevalence of functional constipation and self-reported constipation [J].Dig Dis Sci, 2006, 51 ( 8 ) : 1471-1477.
[14]	林征,朱芬芬,林琳.功能性便秘与精神因素的研究进展[J].中国胃肠病学杂志,2008,13(2) : 118-120.
[19]	Roma E,Adamidis D,Nikolara R,et al.Diet and Chronic Constipation in Children: The Role of Fiber[J]. J Pediatr Gastroenterol Nutr,1999, 28(2) : 169-174.
[15]	Murray C D, Flynn J, Ratcliffe L, et al. Effect of acute physical and psychological stress on gut autonomic innervation in irritable bowel syndrome [J]. Gastroenterology, 2004, 127 (6) : 1695-1703.
[16]	Merkel I S,Locker J,Burgio K,et al.Physiologic and psychologic characteristics of elderly population with chronic constipation[J]. Am J Gastroenterol ,1993,88(11):1854-1859.
[17]	WANG Junping, DUAN Liping, YE Hongjun, et al.Assessment of psychological status and quality of life in patients with functional constipation [J].Chinese Journal of InternalM edicine,2008,47(6): 460-461.
[18]	Jun D W,Park H Y, Lee O Y, et al. A population based study on bowel habits in a Korean community :prevalence of functional constipation and self-reported constipation [J].Dig Dis Sci, 2006, 51 ( 8 ) : 1471-1477.
[19]	Roma E,Adamidis D,Nikolara R,et al.Diet and Chronic Constipation in Children: The Role of Fiber[J]. J Pediatr Gastroenterol Nutr,1999, 28(2) : 169-174.