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目的:调查了解高原驻训官兵消化道不适发生情况及其影响因素和临床特点等,为采取应对措施提供参考。方法:采取群体调查法,选择初次和再次到高原驻训官兵2187例,调查到达高原后出现腹胀、反酸、胃灼热、便秘、腹痛、腹泻、恶心、呕吐等症状,对消化道不适与年龄、性别、驻训高度、到高原次数等因素的关系进行分析。结果:本组2187例中,发生消化道不适148例,占6.9%。其中出现腹胀、反酸、胃灼热、便秘、腹痛、腹泻、恶心、呕吐等多种症状的103例(69.6%),单一症状的45例(30.4%)。排在前3位的依次是腹胀、便秘和腹痛。到高原后出现消化道不适官兵年龄为(23.3±7.6)岁,未出现消化道不适官兵为(25.1±7.3)岁;两组比较,差异不显著(P>0.05)。驻2500~3000m海拔高度791例中,出现消化道不适40例,占5.3%;驻3000m以上1396例中,出现消化道不适108例,占7.7%;两组比较,差异显著(P<0.05)。结论:高原性消化道不适发生率较高,应引起重视及采取相应措施。
Objective: To investigate the incidence of gastrointestinal discomfort of officers and soldiers stationed in the plateau, its influencing factors and clinical features in order to provide reference for taking countermeasures. Methods: A total of 2187 officers and soldiers were recruited for the first time and again on the plateau. The symptoms of bloating, , Gender, training height, the number of times to the plateau and other factors. Results: In this group of 2187 cases, 148 cases of gastrointestinal discomfort, accounting for 6.9%. There were 103 cases (69.6%) with multiple symptoms of bloating, acid reflux, heartburn, constipation, abdominal pain, diarrhea, nausea and vomiting, and 45 cases (30.4%) with single symptoms. In the top three followed by bloating, constipation and abdominal pain. The age of officers and soldiers who had gastrointestinal discomfort after arriving in the plateau was (23.3 ± 7.6) years old, and the average number of officers who did not have gastrointestinal discomfort was (25.1 ± 7.3) years old. There was no significant difference between the two groups (P> 0.05). Of the 791 cases with 2500 ~ 3000m above sea level, 40 cases of gastrointestinal discomfort occurred, accounting for 5.3%; among 1396 cases of more than 3000m, 108 cases had gastrointestinal discomfort, accounting for 7.7%; the difference between the two groups was significant (P <0.05) . Conclusion: The prevalence of high altitude digestive tract discomfort is higher, which should be taken seriously and corresponding measures taken.