CAJ | 학술논문

　　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。
　　목적비교라마Ⅲ화라마Ⅱ표준대해군관병악심화구토증적진단개치。방법안조해군특점、라마Ⅲ화라마Ⅱ진단표준설계조사문권，채용정군완전수궤추양방법대3개불동지역적8600명해군현역관병진행조사。결과채용라마Ⅲ표준，악심화구토증총체환병솔위6.6%，기중만성특발성악심환병솔위3.6%，공능성구토위1.1%，주기성구토종합정위1.9%。채용라마Ⅱ표준，공능성구토적환병솔위7.1%。남성관병각류악심화구토증적환병솔균고우녀성。남구만성특발성악심、공능성구토이급주기성구토종합정적환병솔고우동구화북구。결론라마Ⅱ표준대공능성구토적검출솔고우라마Ⅲ표준，단라마Ⅲ진단표준경위엄근。
Objective To compare the value of RomeⅡandⅢdiagnostic criteria in diagnosis of nausea and vomiting in officers and men of Chinese PLA Navy. Methods A questionnaire was designed according to the characteristics of Chinese PLA Navy officers and men and the RomeⅡandⅢdiagnostic criteria. A total of 8 600 Chinese PLA Navy officers 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 Ⅲ diagnostic 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 RomeⅡdiagnostic 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 RomeⅡthan by RomeⅢdiagnostic criteria, but the RomeⅢdiagnostic criteria are more scientific.