罗马Ⅲ和罗马Ⅱ诊断标准对海军官兵恶心和呕吐症流行病学调查的应用价值

王子恺; 崔立红; 彭丽华; 郭旭; 孙刚; 王巍峰; 杨云生

doi:10.3969/j.issn.2095-5227.2013.06.002

罗马Ⅲ和罗马Ⅱ诊断标准对海军官兵恶心和呕吐症流行病学调查的应用价值

Application of RomeⅡand Ⅲ diagnostic criteria in epidemiological investigation of nausea and vomiting in officers and men of Chinese PLA Navy

摘要

摘要: 目的比较罗马Ⅲ和罗马Ⅱ标准对海军官兵恶心和呕吐症的诊断价值。方法按照海军特点、罗马Ⅲ和罗马Ⅱ诊断标准设计调查问卷，采用整群完全随机抽样方法对3个不同地域的8600名海军现役官兵进行调查。结果采用罗马Ⅲ标准，恶心和呕吐症总体患病率为6.6%，其中慢性特发性恶心患病率为3.6%，功能性呕吐为1.1%，周期性呕吐综合征为1.9%。采用罗马Ⅱ标准，功能性呕吐的患病率为7.1%。男性官兵各类恶心和呕吐症的患病率均高于女性。南区慢性特发性恶心、功能性呕吐以及周期性呕吐综合征的患病率高于东区和北区。结论罗马Ⅱ标准对功能性呕吐的检出率高于罗马Ⅲ标准，但罗马Ⅲ诊断标准更为严谨。

Abstract: Objective To compare the value of Rome Ⅱand Ⅲdiagnostic criteria in diagnosis of nausea and vomiting in off icers and men of Chinese PLA Navy. Methods A questionnaire was designed according to the characteristics of Chinese PLA Navy off icers and men and the Rome Ⅱand Ⅲdiagnostic criteria.A total of 8600 Chinese PLA Navy off icers and men in active service were investigated by random sampling from 3 different regions. Results The total prevalence of nausea and vomiting was 6.6% according to the Rome Ⅲdiagnostic criteria, with chronic idiopathic nausea (CIV), functional vomiting (FV) and cyclic vomiting syndrome(CVS) accounted for 3.6%, 1.1% and 1.9%, respectively.The prevalence of FV was 7.1% according to the Rome Ⅱdiagnostic criteria.The prevalence of CIN, FV and CVS was higher in males than in females and in the southern region than in the eastern and northern regions. Conclusion The detection rate of FV is higher by Rome Ⅱthan by Rome Ⅲdiagnostic criteria, but the Rome Ⅲdiagnostic criteria are more scientif ic.

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