An Epidemiologic Study Of Basic Level Troops Soldiers' Laryngopharyngeal Reflux Disease

Objective: Through clinical epidemiological investigation of the basic level troops soldiers' laryngopharyngeal reflux disease,to understand the prevalence rates of the disease in them,at the same time,discussing the influences of habits and customs of its incidence?Methods: We carry out this investigation by stratified random cluster sampling method in 2000 cases of some troops from October 2015 to September 2016?The soldiers whose Reflux symptoms index > 13 and/or Reverse flow signs index > 7 into the experimental group as suspected LPRD patients,using Proton Pump Inhibitors(PPI)to treat them?After 2 months,we use RSI and RFS to assess them,so as to clarify the diagnosis,(If patients' symptoms disappear,RSI 10 or less,laryngeal examination is normal,RFS 5 or less),then its prevalence rates can be given?We compare the prevalence rates of navies and land force,soldiers in different environments such as vessel and shore?And principal component analysis was carried out on the related risk factors?Results: After RSI and RFS rating scale to 2000 soldiers(including 1000 people in the army and 1000 navies),93 cases were suspected cases(4.65%)?After using Proton Pump Inhibitors(PPI)experimental treatment,72 cases were confirmed,the prevalence rate of the group is 3.60%?The ill person in 1000 navies is 47,the prevalence rate is 4.70%;and in 1000 land forces is 25,the prevalence rate is 2.50%?The differences of prevalence rate has statistical significance between multi-army corps(X2=6.9733,P=0.0083)?Total strength of the vessel is 487,the patients are 33,the prevalence rate is 6.78%;Total strength of the shore is 1513,the patients are 39,the prevalence rate is 2.58%?The differences of prevalence rate has statistical significance between vessel and shore(X2=18.7133,P=0.0000)?And to pathogenic factors,smoking?hige far diet ?emotion?strong tea?coffee?constipation?surroundings etc all have correlations?Conclusion:The research found that the prevalence rate of LPRD is lower in some station soldiers than general population,but it also existed in basic level troops?The occurrence of military LPRD has close relationship with work environment?living habit?psychological stress?We should pay attention to the propaganda and education of LPRD ordinarily,which providced the complication occurrence of military LPRD and control of the disease?Further more,it is very important to reduce the attrition of military?...