摘要目的 调查了解某部参加演习官兵功能性消化不良(FD)的发生率及其影响因素.方法 采用整群抽样的方法,应用焦虑自评量表(SAS)、抑郁自评量表(SDS)和功能性胃肠病罗马(Rome)Ⅲ的诊断标准中的症状自评量表,对参加演习的1000名官兵进行问卷调查.结果 FD发生率为19.7％,其中焦虑者76.26％、抑郁者86.96％,高于非FD者,差异具有显著性统计学意义(FD与非FD官兵SAS得分x2=5.2157,FD与非FD官兵SDS得分x2=5.472 8,P＜0.01);FD患者参加训练压力大,并不能耐受,与非FD者比较,差异有显著统计学意义(x2=349.4804,P＜0.01);FD患者完成作训任务难度大,与非FD者比较,差异有显著统计学意义(x2=4.5367,P＜0.01);症状居首位的是腹部不适(53.81％).结论 参加演习官兵FD发生率较高,与训练紧张引起焦虑、抑郁有关,应根据不同时期、不同环境和条件,进行科学的心理疏导,保持其健康水平.

abstractsObjective To investigate the incidence of functional dyspepsia (FD) and the factors related to FD in a population participated in military maneuver.Methods We made a questionnaire survey in 1000soldiers who participated in military maneuver using a cluster sampling method,self-rating anxiety scale( SAS),self-rating depressive scale(SDS) and self-rating functional dyspepsia scale.Results The total incidence rate of functional dyspepsia was up to 19.7％,within which 76.26％ with anxiety and 86.96％ with depression,which was significantly higher than non-FD soldiers with statistically significant difference (SAS in FD and non-FD:x2 =5.215 7,SDS in FD and non-FD:x2 =5.472 8,both P ＜0.01).FD soldiers were more difficult to accomplish training task compared with non-FD soldiers with statistically significant difference ( x2 =4.536 7,P＜0.01).The most frequent symptom of FD was abdominal discomfort (53.81％).Conclusions The relatively higher incidence of FD in the soldiers who participate in military maneuver is related to anxiety and depression which triggered by nervous emotion.It is necessary to provide scientific psychological counseling in accordance with different stages,environment and conditions to keep good health statement.