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目的探讨在中部战区解放军陆军某部官兵功能性胃肠病(functional gastrointestinal disorders,FGIDs)对睡眠质量的影响。方法采用整群分层随机抽样方法,应用FGIDs罗马Ⅲ调查问卷,进行FGIDs的分类和诊断。采用匹兹堡睡眠质量指数量表(Pittsburgh sleep quality index questionnaire,PSQI)评价睡眠状况。结果 739例调查对象中,348例官兵患FGIDs(FGIDs组),391例患者无FGIDs(无FGIDs组)。7种常见FGIDs依次为非特异性功能性肠病、功能性消化不良、周期性呕吐综合征、痉挛性肛门直肠疼痛、肠易激综合征、功能性腹胀和嗳气。与无FGIDs组相比,FGIDs组的睡眠质量、入睡时间、日间功能障碍和PSQI总分差异具有统计学意义(P<0.01或P<0.05)。除功能性腹胀外,其他6种常见FGIDs睡眠障碍因子得分比无FGIDs组明显升高(P<0.01)。与单一FGIDs相比,FGIDs重叠官兵睡眠障碍更明显,主要表现在入睡时间、日间功能障碍和PSQI总分比例方面差异具有统计学意义(P<0.05)。Spearman相关分析提示睡眠质量、入睡时间、睡眠时间、睡眠障碍、日间功能障碍和PSQI总分与FGIDs重叠存在显著相关(P<0.05)。结论陆军某部官兵睡眠异常情况较普遍,罹患FGIDs使官兵睡眠障碍加重,FGIDs重叠者睡眠障碍更明显。
Objective To explore the effect of functional gastrointestinal disorders (FGIDs) on the quality of sleep in the PLA Army Army in the Central Theater. Methods The cluster stratified random sampling method was used to classify and diagnose FGIDs by using FGIDs Roman Ⅲ questionnaire. The Pittsburgh sleep quality index questionnaire (PSQI) was used to assess sleep status. Results Of the 739 respondents, 348 officers and men had FGIDs (FGIDs group) and 391 patients had no FGIDs (no FGIDs group). Seven common FGIDs were non-specific functional bowel disease, functional dyspepsia, recurrent vomiting syndrome, spasmodic anorectal pain, irritable bowel syndrome, functional bloating and belching. The quality of sleep, time to fall asleep, daytime dysfunction and total score of PSQI in FGIDs group were significantly different from those without FGIDs group (P <0.01 or P <0.05). In addition to functional bloating, the other six common FGIDs sleep disturbance factor scores were significantly higher than those without FGIDs (P <0.01). Compared with a single FGIDs, FGIDs overlapping officers and men sleep disorders more obvious, mainly in the time to fall asleep, daytime dysfunction and PSQI total score ratio was statistically significant (P <0.05). Spearman correlation analysis showed that sleep quality, sleep time, sleep time, sleep disturbance, daytime dysfunction and PSQI score were significantly correlated with FGIDs overlap (P <0.05). Conclusion The officers and soldiers in an army have abnormal sleep conditions. FGIDs make officers and soldiers sleep disorders worse, and FGIDs overlap more obviously.