解放军医学杂志2017，Vol.42Issue(1)：76-80,5.DOI:10.11855/j.issn.0577-7402.2017.01.15
陆军某部官兵非特异性功能性肠病临床特征分析
Clinical features of unspecified functional bowel disorder in servicemen from a Chinese army unit
姚欣 1王倩 1温贺军 2孙蓉 1智佳 1曹鹏 2刘颖 2麻涛 2王翠兰1
作者信息
- 1. 050082 石家庄 白求恩国际和平医院消化内科
- 2. 050082 石家庄 解放军66010部队卫生队
- 折叠
摘要
Abstract
Objective To investigate clinical manifestation of unspecified functional bowel disorder (UFBD), the features of coexistence with functional gastrointestinal disorder (FGID) and its relationship with psychological factors and sleep disturbance in the Chinese Army servicemen.Methodsc FGIDs were diagnosed based on the RomeⅢ Modular Questionnaire. The subjects were 189 servicemen with UFBD (UFBD group) and 372 without FGID (control group). All subjects completed symptom checklist 90 (SCL-90) and Pittsburgh Sleep Quality Index (PSQI) questionnaire.Results'Have to rush to the toilet when having a desire to defecate' was the most frequent symptom of UFBD (93.7%). More than one half of UFBD patients had the symptom 'a feeling of incomplete emptying as bowel movements' or 'straining during bowel movements'. Twenty-eight percent of UFBD subjects had combined FGID (namely cFGID). Among them, the most frequent was proctalgia fugax (7.9%), followed by cyclic vomiting syndrome (6.3%), functional fecal incontinence (6.3%), functional dyspepsia (4.8%) and belching (4.8%). The UFBD group scored significantly higher than the control group in the global severity index (GSI) and in all SCL-90 subscales (P<0.05). The scores of the four domains (sleep quality, sleep latency , sleep disturbance and daytime function disorder), total PSQI score and proportion of poor sleeping quality were significantly higher in the UFBD group than in the control group (P<0.05). The subjects scored significantly higher in combined FGID group than in UFBD group in GSI and in all of SCL-90 subscales, except for phobic anxiety subscales (P<0.05). However, there was no significant difference in each domain, total PSQI and proportion of poor sleeping quality between the cFGID group and UFBD group (P>0.05).ConclusionPathogenesis of UFBD may be closely correlated with psychiatric and psychological factors and sleep disturbance. cFGID are associated with an increased severity of psychopathological features.关键词
非特异性功能性肠病/功能性胃肠病/军事人员/心理因素Key words
unspecified functional bowel disorders/functional gastrointestinal disorders/military personnel/psychological factors分类
医药卫生引用本文复制引用
姚欣,王倩,温贺军,孙蓉,智佳,曹鹏,刘颖,麻涛,王翠兰..陆军某部官兵非特异性功能性肠病临床特征分析[J].解放军医学杂志,2017,42(1):76-80,5.
