Abstract：Objective To investigate the possible risk factors for functional dyspepsia (FD) of coal miners in Tangshan. Methods A total of 1796 coal miners were selected randomly based on the Rome Ⅲ diagnosed questionnaire for adult functional gastrointestinal disease from April to August in 2016. They were interviewed by face-to-face and data were collected. FD was diagnosed according to the Rome Ⅲ criteria. The prevalence of FD was calculated. Multivariate logistic regression analysis was performed to determine the significant factors related to FD. These factors contained smoking, alcohol drinking, drinking tea, spicy food intake, water consumption, family income, underground work, work time and so on. Results At last, 1721 effective questionnaires were collected. And 398 miners with FD were enrolled in FD group while 1323 miners belonged to non-FD group. The overall prevalence of FD was 23.23%. In FD group, the rates of alcohol drinking, spicy or acidity food intake, skipping breakfast and irregular diet were higher than those in non-FD group (P ＜ 0.05). In FD group, the occurrence rates of underground work, long work time, low family income and contracted workers were higher than those in non-FD group (P ＜ 0.05). Multivariate Logistic indicated that spicy food intake, underground work, long work time and low family income were the influence factors of FD (P ＜ 0.05). Conclusion FD is a common disease in coal miners. Spicy food intake, underground work, long work time and low family income are risk factors of FD. Living habits educations, a pay raise, improving the working environment and increasing the labor and social security maybe will help to reduce the happening of FD in the coal mine workers.
[1] Mahadeva S，Ford AC. Clinical and epidemiological differences in functional dyspepsia between the East and the West [J]. Neurogastroenterol Motil，2016，28（2）：167-174.
[2] 崔二丽，王智昊，王丽波，等.功能性消化不良的诊治进展[J].中国老年学杂志，2015（9）：2564-2568.
[3] 龚晓蓉，熊理守，时权，等.中文版亚太地区成人功能性胃肠病问卷信度和效度分析[J].中华消化杂志，2012，32（5）：298-302.
[4] Drossman DA，Corazziari E，Delvaux M，et al. The functional gastrointestinal disorders [M]. 3rd ed. Rome Ⅲ，2006.
[5] Drossman DA，Dumitrascu DL. Rome Ⅲ：new standard for functional gastrointestinal disorders [J]. J Gastrointestin Liver Dis，2006，15（3）：237-241.
[6] 杜晓娟，汪龙德，刘俊宏，等.功能性消化不良与脑肠轴机制研究进展[J].辽宁中医药大学学报，2017，19（7）：1-3.
[7] 胡景，杨云生，彭丽华，等.北京在校大学生功能性消化不良相关危险因素的调查[J].第三军医大学学报，2009， 31（15）：1498-1501.
[8] 郑洪明，李学良.服刑人员功能性消化不良流行病学及其相关因素调查研究[J].中国社区医师，2016，32（5）：86-88.
[9] Mahadeva S，Goh KL. Epidemiology of functional dyspepsia：a global perspective [J]. World J Gastroenterol，2006， 12（17）：2661-2666.
[10] 左国文，梁列新，黄丹，等.南宁市大学生功能性消化不良相关危险因素的调查[J].实用医学杂志，2015，31（8）：1334-1336.
[11] 崔立红，闫志辉，彭丽华，等.海军部队人员功能性消化不良及影响因素[J].中华劳动卫生职业病杂志，2013， 31（5）：361-365.
[12] Mahadeva S，Yadav H，Rampal S，et al. Ethnic variation，epidemiological factors and quality of life impairment associated with dyspepsia in urban Malaysia [J]. Aliment Pharmacol Ther，2010，31（10）：1141-1151.
[13] 左国文，梁列新，姚萍，等.南宁市大学生功能性消化不良的流行病学调查[J].世界华人消化杂志，2014，22（2）：263-267.
[14] 徐俊荣，宋瑛，司望利，等.西安地区常住人口社会心理因素与功能性胃肠病发病关系的研究[J].胃肠病学和肝病学杂志，2015，24（1）：99-103.
[15] Pilichiewicz AN，Horowitz M，Holtmann GJ，et al. Relationship between symptoms and dietary patterns in patients with functional dyspepsia [J]. Clin Gastroenterol Hepatol，2009，7（3）：317-322.
[16] 姚萍，梁列新，董卫国，等.广西隆安县农村壮族人群功能性消化不良的流行病学调查[J].世界华人消化杂志，2014，22（17）：2393-2398.
[17] 吴柏瑶，张法灿，梁列新.功能性消化不良的流行病学[J].胃肠病学和肝病学杂志，2013，22（1）：85-90.
[18] 陈湖，钟碧慧，李初俊，等.广东城镇居民消化不良的流行病学调查[J].中华内科杂志，1998，37（5）：24-26.
[19] Moayyedi P，Forman D，Braunholtz D，et al. The proportion of upper gastrointestinal symptoms in the community associated with Helicobacter pylori，lifestyle factors，and nonsteroidal anti-inflammatory drugs. Leeds HELP Study Group [J]. Am J Gastroenterol，2000，95（6）：1448-1455.
[20] 曾朦，何平，何东奎，等.乌鲁木齐煤矿工人职业紧张与职业倦怠现况调查[J].新疆医学，2016，46（2）：199-203
2018, Vol. 15 
京公网安备 11010502046598号