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신동현 ( Sinn Dong Hyun ),임성우 ( Lim Seong Woo ),김경묵 ( Kim Kyung Mook ),유호열 ( You Ho Yeol ),최종권 ( Choi Jong Kown ) 국군의무사령부 2010 대한군진의학학술지 Vol.41 No.1
Objectives: Gastroesophageal reflux disease (GERD) and functional dyspepsia (FD) is commonly diagnosed disease among military soldiers. We investigated the role of smoking in young military soldiers in GERD and FD. Methods: A survey was conducted to the random sample of military soldiers who visited Armed Forces Daejeon Hospital during March 2009 to April 2009. A total of 374 responded and completed the survey. Results: GERD and FD were diagnosed in 7.5% and 5.6% of participants, respectively. GERD was diagnosed more frequently among smokers (13.7%) compared to non-smoker (4.8%, p = 0.008). FD was diagnosed more frequently among smokers (12.6%) compared to past smoker (4.4%, p = 0.045) or non-smoker (2.7%, p = 0.001). Compared to smokers, non smoking was a protective factor for GERD (odds ratio: 0.34, 95% Confidence interval (CI): 0.13 - 0.83, p = 0.018) and FD (odd ratio: 0.20, 95% CI: 0.07 - 0.59, p = 0.004). Conclusions: Smoking is a factor associated with GERD and FD in the young military soldiers. Smoking cessation should be recommended for patients with GERD and FD, and anti-smoking campaign can be effective strategy to reduce GERD and FD in the military.