摘要
目的了解汽车兵功能性消化不良(FD)与军事训练、心理应激特征的关系,为防治官兵FD提供理论依据。方法以某部汽车兵4.5个月军事训练为背景,采用FD症状量表、胃镜检查,了解187名汽车兵FD发病状况,运用SCL-90问卷调查进行心理相关分析,并与陆军某部通讯连战士103人进行对照。结果汽车兵FD发病率约为46.5%,明显高于通讯兵的33.0%(P<0.01)。汽车兵SCL-90≥160组FD的发生率约为78.8%(78/99),显著高于SCL-90<160组的10.2%(9/88),相关系数r=0.22(P<0.01)。FD患者SCL-90积分(170.00±42.06)明显高于无症状组(136.90±30.56,P<0.01)。FD组SCL-90各因子分、总分均非常显著地高于中国常模;除偏执、敌对因子均分外,其余各项因子均分均显著高于军人常模。汽车兵FD患者的Hp感染率为58.6%(51/87),与通讯兵的59.4%(19/32)比较无显著性差异(P>0.05)。结论军事训练和心理应激可能引发或加重FD。
Objective To investigate the relationships among functional dyspepsia （FD）, military training and psy chological stress in army drivers. Methods After 4 and a half months of military training, FD incidence of 187 training drivers was analyzed by FD symptom scales and gastroscopy. Psychological state was assessed using psychiatric symptom checklist （SCL-90） questionnaire. One hundred and three communication soldiers were taken as control. Results FD incidence was 46. 5% in army drivers, significantly higher than 33.0% in control （P〈0. 01）. FD was detected in 78. 8% （78/99） of the drivers whose SCL-90 scores≥ 160, significantly higher than 10. 22% （9/88） drivers of whose SCL-90 scores 〈160 （r= 0. 22, P〈0. 01）. SCL-90 scores in FD group （170. 00 ± 42. 06） were significantly higher than those with no symptom （ 136. 90 ± 30. 56, P〈0. 01）. The SCL-90 score of each factor and the sum of FD group were both sig nificantly higher than those of the Chinese norm, and the average score of each factor was significantly higher than that of the Chinese soldier norm except the paranido and hostility factor. H. pylori prevalence was 58.6% （51/87） in the driv ers, without significant difference with the control （59. 4%, 19/32, P〉0. 05）. Conclusion Military training and psy chological stress may induce or aggravate FD symptoms.
出处
《华南国防医学杂志》
CAS
2008年第6期41-43,共3页
Military Medical Journal of South China
基金
全军中药新药研究重点资助项目(99083)
关键词
功能性消化不良
军事训练
心理应激
心理特征
幽门螺杆菌
Functional dyspepsia
Military training
Psychological stress
Psychological characteristics
Helicobacter Pylori
