论文部分内容阅读
目的探讨胃癌高发地区人群中功能性消化不良(FD)的患病率及发病相关因素。方法根据罗马Ⅱ标准从普查人群中诊断出消化不良病例,包括器质性消化不良(OD)和FD;再通过胃镜、腹部B超、实验室检查等排除OD,确诊FD;在普查人群中随机选择健康者作为对照组;对上述人群询问了解其工作、生活及心理有关因素。结果确诊的消化不良患者共209例,其中FD为91例,FD占消化不良患者的43.54%。睡眠差在FD组占43.96%,高于对照组的15%(P<0.05);人际关系敏感、强迫症状在FD组分别占46.15%和65.93%,明显高于对照组的10%和30%(P<0.01),其余因素在两组所占比例差异无显著性(P>0.05)。结论胃癌高危人群FD占消化不良的患病率与非胃癌高危人群相似。睡眠差与FD发病相关,人际关系敏感、强迫症状与FD发病密切相关,其余因素与当地FD发病无相关性。
Objective To investigate the prevalence and related factors of functional dyspepsia (FD) in population with high incidence of gastric cancer. Methods According to the Rome Ⅱ standard, digestive problems were diagnosed from the census population, including organic dyspepsia (FD) and FD. The patients were excluded by FDG by endoscopy, abdominal ultrasonography and laboratory tests. Select healthy people as the control group; ask the above-mentioned people to understand their work, life and psychological factors. Results A total of 209 cases of dyspeptic patients diagnosed, including FD in 91 cases, FD accounted for 43.54% of patients with dyspepsia. The difference between the two groups was 43.96% in FD group and 15% in control group (P <0.05). Interpersonal sensitivity and obsessive compulsive symptoms were 46.15% and 65.93% in FD group, which were significantly higher than those in control group (10% and 30% (P <0.01). There was no significant difference between the two groups in remaining factors (P> 0.05). Conclusion The prevalence of FD in indigestible population with high risk of gastric cancer is similar to that of non-gastric cancer high risk population. Poor sleep and FD incidence, interpersonal sensitivity, obsessive-compulsive disorder and the incidence of FD are closely related, the rest of the factors and the incidence of local FD had no correlation.