张秀静 马利转 李志婷 张国顺 侯炳旭

    [摘要] 目的 探討煤矿工人功能性消化不良(FD)的危险因素。 方法 以罗马Ⅲ成人功能性胃肠病诊断调查问卷为基础，于2016年4～8月采用分层整群随机抽样的方式抽取1796名煤矿工人进行面谈式调查，计算其FD患病率。诊断为FD的患者为实验组，未诊断为FD者为对照组。采用多因素回归对FD发病影响因素进行多因素分析，分析吸烟、饮酒、喝茶、进食生冷食物、进食辛辣或生冷食物、水果及蔬菜进食量、饮水量、家庭收入、有无编制、工作性质(井下作业/地面作业)及工作时间等是否为FD发病的相关因素。 结果 共回收有效问卷1721例，其中FD组398例，对照组1323例，FD患病率为23.23%。FD组饮酒、进食辛辣饮食或酸制品、不进食早餐及进餐不规律的概率明显高于对照组(P < 0.05)。FD组中井下作业、作业时间长、家庭收入低及无正式编制者比例明显高于对照组(P < 0.05)。多因素回归分析示常吃辛辣食品、井下作业、作业时间长、家庭收入低是FD发生的影响因素(P < 0.05)。 结论 FD已成为煤矿工人的常见病，常吃辛辣食品、井下作业、作业时间长、家庭收入低为FD发生的危险因素。加强煤矿职工生活习惯教育、提高其待遇水平、改善作业环境并增加劳动保障可能将有助于降低煤矿职工FD的发生。

    [关键词] 功能性消化不良；矿工；罗马Ⅲ标准；危险因素

    [中图分类号] R573.9 [文献标识码] A [文章编号] 1673-7210(2018)02(c)-0049-05

    Investigation of the risk factors for functional dyspepsia of coal miners

    ZHANG Xiujing MA Lizhuan LI Zhiting ZHANG Guoshun HOU Bingxu

    Department of Gastroenterology， North China University of Science and Technology Affiliated Hospital， Hebei Province， Tangshan 063000， China

    [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 ......