高原高寒地区官兵便秘相关性内痔的发生风险:低膳食纤维摄入的影响
Risk of occurrence of constipation-related internal haemorrhoids in officers and soldiers in high-altitude and cold regions:effects of low dietary fibre intake
轩宗香 1赵亚丽 1张伟 2秦琼 1李益智 1洪夏芸 1秦丽蓉 1宋枫1
作者信息
- 1. 中国人民解放军联勤保障部队第九四四医院,甘肃 酒泉 735000
- 2. 中国人民解放军东部战区总医院全军普通外科研究所,江苏 南京 210002
- 折叠
摘要
目的:探索高原高寒地区官兵便秘相关性内痔的发生风险与低膳食纤维摄入之间的关系.方法:采用问卷形式对高原高寒地区官兵便秘和内痔的发生情况进行调查研究,分析便秘相关性内痔发生的风险因素,并对低膳食纤维摄入与便秘、内痔的关系进行相关分析.结果:在607名官兵中,有75例(12.4%)便秘,有89例(14.7%)内痔.在内痔的病例中,便秘相关的内痔62例(69.7%),便秘无关的内痔27例(20.3%).便秘相关的内痔的疼痛评分和治愈时间均显著高于便秘无关的内痔(P<0.01).多因素Logistic回归分析显示:低膳食纤维摄入(OR值为161.987)是便秘相关的内痔发生的高风险性因素.双变量相关分析结果显示:低膳食纤维摄入与内痔之间存在显著的负相关(r=-0.635).在考虑便秘的影响后,偏相关分析结果显示:低膳食纤维摄入与内痔之间无显著相关性(P>0.05).结论:低膳食纤维摄入是高原高寒地区官兵便秘相关的内痔发生的高风险因素,其主要是通过引发便秘来间接增加内痔的发病风险.
Abstract
Objective:To investigate the association between the risk of constipation-related internal haemorrhoids and low dietary fibre intake in officers and soldiers living in cold regions at high altitude.Methods:A questionnaire survey was conducted to investigate the incidence of constipation and internal haemorrhoids among officers and soldiers in high altitude and cold regions.Risk factors for constipation-associated internal hemorrhoids were analyzed,and the relationship between low dietary fibre intake,constipation,and internal hemorrhoids was assessed by correlation analysis.Results:Among 607 military personnel,75 cases(12.4%)of constipation and 89 cases(14.7%)of internal hemorrhoids were reported.Of the internal hemorrhoids,62 cases(69.7%)were constipation-related internal hemorrhoids,while 27 cases(20.3%)were internal hemorrhoids unrelated to constipation.The pain scores and healing time of constipation-associated internal hemorrhoids were significantly higher than for non-constipation-related internal haemorrhoids(P<0.01).Multivariate logistic regression analysis showed that low dietary fibre intake(OR value=161.987)was a high-risk factor for the occurrence of constipation-associated internal hemorrhoids.The results of the bivariate correlation analysis showed a significant negative correlation between low dietary fiber intake and internal hemorrhoids(r=-0.635).After adjusting for the effect of constipation,partial correlation analysis showed no significant association between low fibre intake and internal haemorrhoids(P>0.05).Conclusion:Low fibre intake is a high risk factor for the development of constipation-related internal haemorrhoids in officers and soldiers living at high altitude and in cold climates,which mainly increases the risk of internal haemorrhoids indirectly through the development of constipation.
关键词
便秘/内痔/高原高寒地区/低膳食纤维摄入/风险性因素Key words
Constipation/Internal hemorrhoids/High-altitude and cold regions/Low dietary fiber intake/Risk factors引用本文复制引用
出版年
2024
NETL
NSTL
万方数据