中华消化杂志
中華消化雜誌
중화소화잡지
Chinese Journal of Digestion
2010年
6期
386-390
,共5页
胃食管反流%流行病学研究%福建
胃食管反流%流行病學研究%福建
위식관반류%류행병학연구%복건
Gastroesophageal reflux%Epidemiologic studies%Fujian
目的 探讨福建省人群胃食管反流病(GERD)发病情况,分析与之相关的危险因素.方法 采用整群分层随机抽样的方法,对福建省福州市人群进行GERD症状及危险因素问卷调查.按反流病诊断问卷(RDQ)评分定义,总积分≥12分为GERD组,＜12分为非GERD组,对两组行相关因素分析.结果 共调查1347例对象,GERD患病率为8.76%(118/1347).男女比例为1∶1.09,差异无统计学意义(x2=0.243,P＞0.05).40岁以上人群GERD患病率较40岁以下人群明显增高(P＜0.05).不同职业GERD患病率统计显示,商人患病率最高[17.91%(12/67)]、离退休者次之[13.48%(12/89)]、军人最低[2.94%(2/68)].GERD组中腹胀、嗳气、恶心、呕吐、纳差等症状的发生率及喉炎、咽炎、口腔溃疡等疾病的发生率均高于非GERD组(P＜0.01).年龄、肥胖、吸烟、常食油腻、进食过饱、常食辛辣食物、常进甜食、常饮咖啡、常饮浓茶和便秘等可能是GERD的危险因素.结论 福建省人群GERD患病率较高,且多种因素与反流密切相关.
目的 探討福建省人群胃食管反流病(GERD)髮病情況,分析與之相關的危險因素.方法 採用整群分層隨機抽樣的方法,對福建省福州市人群進行GERD癥狀及危險因素問捲調查.按反流病診斷問捲(RDQ)評分定義,總積分≥12分為GERD組,＜12分為非GERD組,對兩組行相關因素分析.結果 共調查1347例對象,GERD患病率為8.76%(118/1347).男女比例為1∶1.09,差異無統計學意義(x2=0.243,P＞0.05).40歲以上人群GERD患病率較40歲以下人群明顯增高(P＜0.05).不同職業GERD患病率統計顯示,商人患病率最高[17.91%(12/67)]、離退休者次之[13.48%(12/89)]、軍人最低[2.94%(2/68)].GERD組中腹脹、噯氣、噁心、嘔吐、納差等癥狀的髮生率及喉炎、嚥炎、口腔潰瘍等疾病的髮生率均高于非GERD組(P＜0.01).年齡、肥胖、吸煙、常食油膩、進食過飽、常食辛辣食物、常進甜食、常飲咖啡、常飲濃茶和便祕等可能是GERD的危險因素.結論 福建省人群GERD患病率較高,且多種因素與反流密切相關.
목적 탐토복건성인군위식관반류병(GERD)발병정황,분석여지상관적위험인소.방법 채용정군분층수궤추양적방법,대복건성복주시인군진행GERD증상급위험인소문권조사.안반류병진단문권(RDQ)평분정의,총적분≥12분위GERD조,＜12분위비GERD조,대량조행상관인소분석.결과 공조사1347례대상,GERD환병솔위8.76%(118/1347).남녀비례위1∶1.09,차이무통계학의의(x2=0.243,P＞0.05).40세이상인군GERD환병솔교40세이하인군명현증고(P＜0.05).불동직업GERD환병솔통계현시,상인환병솔최고[17.91%(12/67)]、리퇴휴자차지[13.48%(12/89)]、군인최저[2.94%(2/68)].GERD조중복창、애기、악심、구토、납차등증상적발생솔급후염、인염、구강궤양등질병적발생솔균고우비GERD조(P＜0.01).년령、비반、흡연、상식유니、진식과포、상식신랄식물、상진첨식、상음가배、상음농다화편비등가능시GERD적위험인소.결론 복건성인군GERD환병솔교고,차다충인소여반류밀절상관.
Objective To assess the prevalence of gastroesophageal reflux disease(GERD) in the population of Fujian province, and to analyze the risk factors in relation to the disease. Methods A survey on GERD symptoms and its related factors was carried out in the population of Fuzhou city in Fujian province using a stratified random sampling method. According to reflux disease questionnaire (RDQ) score, the subjects were divided to GERD group with Sc≥ 12 and control group with Sc＜ 12.The risk factors related to GERD were compared between two groups. Results A total of 1347residents were investigated. The prevalence of GERD was 8.76 %, and male to female ratio wasincreased in population above 40 years of age (P＜0.05). The incidence of GERD in subjects with different occupations was as follows: the businessmen [17.91%(12/67)], retirees [13.48%(12/89)]and soldiers [2.94%(2/68)]. Symptoms including abdominal distension, belching, nausea, vomiting,dyspepsia were common in GERD group compared to control group (P ＜ 0.01). Besides, the laryngitis, pharyngitis and mouth ulcer were common in GERD group compared to control group ( P＜0.05). The risk factors of GERD were eating greasy (OR= 1.589) and sweetmeat (OR= 2.413),overeating (OR = 2.053), constipation (OR = 1.650), acridity food (OR = 1.366 ), coffee (OR =1.295), strong tea (OR= 1.362). Conclusions The prevalence of GERD is high in the population of Fujian province, and many factors are closely related to reflux.
