Epidemiological survey on functional constipation among military personnel stationed in high-altitude special environments and formulation of its comprehensive prevention and control strategies

DOU Weilong; ZENG Hao; SUN Zhiyong

doi:10.16016/j.2097-0927.202511057

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Epidemiological survey on functional constipation among military personnel stationed in high-altitude special environments and formulation of its comprehensive prevention and control strategies

Think Tank for Public Health | 更新时间：2026-01-14

- Epidemiological survey on functional constipation among military personnel stationed in high-altitude special environments and formulation of its comprehensive prevention and control strategies
- Journal of Army Medical University Vol. 48, Issue 1, Pages: 94-99(2026)
- 作者机构：
  
  中国人民解放军陆军第九四六医院普通外科，新疆伊宁
- 作者简介：
  
  DOU Weilong E-mail：douweilong126@126.com
- 基金信息：
- DOI：10.16016/j.2097-0927.202511057
  CLC： R195.4;R256.35;R339.54
- Received：25 October 2025，
  
  Revised：2025-11-24，
  
  Accepted：15 December 2025，
  
  Published：15 January 2026
- 稿件说明：
移动端阅览
窦维龙，曾昊，孙智勇.高海拔特殊环境驻地官兵功能性便秘的流行病学调查与综合防控策略构建［J］.陆军军医大学学报，2026，48（01）：94-99.DOI：10.16016/j.2097-0927.202511057.

DOU W L，ZENG H，SUN Z Y.Epidemiological survey on functional constipation among military personnel stationed in high-altitude special environments and formulation of its comprehensive prevention and control strategies［J］.J Army Med Univ，2026，48（01）：94-99.DOI：10.16016/j.2097-0927.202511057.
窦维龙，曾昊，孙智勇.高海拔特殊环境驻地官兵功能性便秘的流行病学调查与综合防控策略构建［J］.陆军军医大学学报，2026，48（01）：94-99.DOI：10.16016/j.2097-0927.202511057. DOI：

DOU W L，ZENG H，SUN Z Y.Epidemiological survey on functional constipation among military personnel stationed in high-altitude special environments and formulation of its comprehensive prevention and control strategies［J］.J Army Med Univ，2026，48（01）：94-99.DOI：10.16016/j.2097-0927.202511057. DOI：

摘要

目的

调查高原部队官兵功能性便秘（functional constipation，FC）的发病状况，探讨机体在高原发生功能性便秘的规律及特点，分析相关因素并制定防治措施。

方法

本研究于2024年5—8月，采用分层整群随机抽样方法，对进入海拔5 100 m高原、驻守时间超过6个月的官兵开展问卷调查。共发放问卷770份，有效回收765份。问卷内容主要包括便秘症状回顾性调查以及9项潜在相关因素的评估。数据分析采用单因素分析与多因素Logistic回归分析，以识别功能性便秘的独立影响因素。

结果

共回收765份有效问卷，FC患病率为15.8%，Logistic回归分析表明，缺乏膳食纤维（

=4.347，95%

CI：

2.749~6.873）、心情焦虑（

=3.625，95%

CI：

2.279~5.766）、经常克制排便（

=2.869，95%

CI：

1.846~4.458）、吸氧不足（

=2.664，95%

CI：

1.712~4.145）和缺乏运动（

=2.346，95%

CI：

1.429~3.849）为FC可能性的危险因素，各因素

值均小于0.01。

结论

高原官兵FC的患病率达15.8%，主要危险因素为：缺乏膳食纤维、心情焦虑、经常克制排便、吸氧不足和缺乏运动。对策　高原官兵功能性便秘问题应予以高度重视。建议采取以下综合干预措施：一是改善环境与管理，优化住宿条件、作息安排和吸氧时间；二是促进健康行为，调整膳食结构、增加纤维摄入与饮水，科学安排体能活动，避免久坐与刻意抑制排便；三是加强心理支持，开展心理健康疏导，缓解焦虑情绪；四是规范医疗干预，在必要时合理使用药物辅助治疗。通过多维度、系统性的健康管理，切实降低功能性便秘发生率，保障官兵身心健康与部队战斗力。

Abstract

Objective

To investigate the incidence of functional constipation (FC) in troops stationed at plateau

to explore the rules and features of FC occurring in high altitude

and to analyze related factors and develop prevention and treatment measures.

Methods

A survey was carried out during May and August 2024 with Rome Ⅲ diagnostic criteria

symptom checklist-90 (SCL-90) and self-designed questionnaires on the soldiers who had been stationed in the highland area (5 100 m) for more than 6 months subjected with stratified cluster random sampling. A total of 770 questionnaires were distributed

and 765 ones were recovered. These questionnaires mainly included a retrospective survey on constipation symptoms

and 9 related factors were evaluated. Univariate and multivariate logistic regression analyses were applied to identify the independent influencing factors for FC.

Results

Totally 765 valid questionnaires were collected

and the incidence of FC was 15.8%. Logistic regression analysis showed that lack of dietary fiber (

=4.347

95%

: 2.749 to 6.873)

anxiety (

=3.625

95%

: 2.279 to 5.766)

frequent suppression of defecation (

=2.869

95%

: 1.846 to 4.458)

insufficient oxygen intake (

=2.664

95%

: 1.712 to 4.145) and lack of exercise (

=2.346

95%

: 1.429 to 3.849) were the potential risk factors for FC (

0.01).

Conclusion

The incidence of FC is 15.8% among high-altitude officers and soldiers

and its main risk factors are lack of dietary fiber

anxiety

frequent restraint of defecation

insufficient oxygen intake

and lack of exercise. Countermeasures High priority should be given to the issue of FC among plateau-stationed troops. Following comprehensive interventions are recommended: ① Improve environmental and managerial conditions by optimizing accommodation facilities

daily schedules

and ensuring adequate time of oxygen supply; ② Promote healthy behaviors through dietary restructuring

increased fiber and water intake

scientifically planned physical activities

and avoidance of prolonged sitting and deliberate suppression of bowel movements; ③ Strengthen psychological support by implementing mental health counseling to alleviate anxiety; ④ Standardize medical interventions with appropriate pharmacological assistance when necessary. Through multidimensional and systematic health management

the incidence of functional constipation can be effectively reduced

thereby safeguarding both the physical and mental well-being of the troops and maintaining combat readiness.

关键词

Keywords

references

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