中华临床医师杂志(电子版)
中華臨床醫師雜誌(電子版)
중화림상의사잡지(전자판)
CHINESE JOURNAL OF CLINICIANS(ELECTRONIC VERSION)
2014年
4期
643-647
,共5页
周长宏%曹维%孟欣颖%逄增昌%汪韶洁%董全江
週長宏%曹維%孟訢穎%逄增昌%汪韶潔%董全江
주장굉%조유%맹흔영%방증창%왕소길%동전강
双生%症状%消化道%同病率%遗传
雙生%癥狀%消化道%同病率%遺傳
쌍생%증상%소화도%동병솔%유전
Twins%Symptoms%Gastrointestinal tract%Concordance rate%Heredity
目的:探讨双生子中上消化道症状的同病率以及影响因素。方法募集青岛市区成年双生子,通过卵形鉴定区分同卵(MZ)双生子和异卵(DZ)双生子。以问卷调查的方式,询问双生子两位成员的个人基本资料、上消化道症状的存在情况(吞咽困难、上腹痛、反酸、胃灼热、嗳气、上腹胀、恶心、呕吐)、有无消化系统肿瘤家族史以及有无喜腌食和烫食的习惯。结果共有154对双生子符合纳入标准,其中MZ双生子110对,DZ双生子44对,双生子平均年龄(53.3±6.5)岁。共有92对双生子具有上消化道症状,占总数的59.74%。上消化道症状的检出率由高到低依次为反酸、胃灼热、嗳气、上腹胀、恶心和呕吐、上腹痛、吞咽困难。MZ双生子和DZ双生子上消化道症状均以反酸、胃灼热、嗳气、上腹胀为常见,两组间症状构成比无统计学差异。MZ 双生子中反酸、胃灼热、嗳气、恶心和呕吐、上腹胀的同病率明显高于DZ,差异有统计学意义。喜烫食与上消化道症状存在有关。消化系统肿瘤家族史与双生子中上消化道症状的存在无关。在有家族史的双生子中,DZ双生子和MZ双生子上消化道症状检出率相近,症状同病率相近。结论双生子中上消化道症状并不少见,遗传因素、喜烫食的习惯影响了上消化道症状的存在。
目的:探討雙生子中上消化道癥狀的同病率以及影響因素。方法募集青島市區成年雙生子,通過卵形鑒定區分同卵(MZ)雙生子和異卵(DZ)雙生子。以問捲調查的方式,詢問雙生子兩位成員的箇人基本資料、上消化道癥狀的存在情況(吞嚥睏難、上腹痛、反痠、胃灼熱、噯氣、上腹脹、噁心、嘔吐)、有無消化繫統腫瘤傢族史以及有無喜醃食和燙食的習慣。結果共有154對雙生子符閤納入標準,其中MZ雙生子110對,DZ雙生子44對,雙生子平均年齡(53.3±6.5)歲。共有92對雙生子具有上消化道癥狀,佔總數的59.74%。上消化道癥狀的檢齣率由高到低依次為反痠、胃灼熱、噯氣、上腹脹、噁心和嘔吐、上腹痛、吞嚥睏難。MZ雙生子和DZ雙生子上消化道癥狀均以反痠、胃灼熱、噯氣、上腹脹為常見,兩組間癥狀構成比無統計學差異。MZ 雙生子中反痠、胃灼熱、噯氣、噁心和嘔吐、上腹脹的同病率明顯高于DZ,差異有統計學意義。喜燙食與上消化道癥狀存在有關。消化繫統腫瘤傢族史與雙生子中上消化道癥狀的存在無關。在有傢族史的雙生子中,DZ雙生子和MZ雙生子上消化道癥狀檢齣率相近,癥狀同病率相近。結論雙生子中上消化道癥狀併不少見,遺傳因素、喜燙食的習慣影響瞭上消化道癥狀的存在。
목적:탐토쌍생자중상소화도증상적동병솔이급영향인소。방법모집청도시구성년쌍생자,통과란형감정구분동란(MZ)쌍생자화이란(DZ)쌍생자。이문권조사적방식,순문쌍생자량위성원적개인기본자료、상소화도증상적존재정황(탄인곤난、상복통、반산、위작열、애기、상복창、악심、구토)、유무소화계통종류가족사이급유무희업식화탕식적습관。결과공유154대쌍생자부합납입표준,기중MZ쌍생자110대,DZ쌍생자44대,쌍생자평균년령(53.3±6.5)세。공유92대쌍생자구유상소화도증상,점총수적59.74%。상소화도증상적검출솔유고도저의차위반산、위작열、애기、상복창、악심화구토、상복통、탄인곤난。MZ쌍생자화DZ쌍생자상소화도증상균이반산、위작열、애기、상복창위상견,량조간증상구성비무통계학차이。MZ 쌍생자중반산、위작열、애기、악심화구토、상복창적동병솔명현고우DZ,차이유통계학의의。희탕식여상소화도증상존재유관。소화계통종류가족사여쌍생자중상소화도증상적존재무관。재유가족사적쌍생자중,DZ쌍생자화MZ쌍생자상소화도증상검출솔상근,증상동병솔상근。결론쌍생자중상소화도증상병불소견,유전인소、희탕식적습관영향료상소화도증상적존재。
Objective To investigate the concordance rate of upper gastrointestinal tract symptoms in twins and its influencing factors. Methods Adult twins living in urban district of Qingdao city were enrolled in this study. Monozygotic twins and dizygotic twins were distinguished by ovate identification. Basic personal information, upper gastrointestinal tract symptoms(dysphagia, upper abdominal pain, acid reflux, heartburn, belching, nausea, vomiting, abdominal bloating), family history of digestive system tumors and habits of eating pickled food and hot food were asked by questionnaire. Results Total of 154 pairs of twins met the inclusion criteria, including 110 pairs of monozygotic twins and 44 pairs of dizygotic twins. The mean age of twins was (53.3±6.5) years old. A total of 92 pairs of twins with upper gastrointestinal symptoms, accounted for 59.74% of the total cases. Detection rate of upper gastrointestinal symptoms from high to low were acid reflux, heartburn, belching, abdominal bloating, nausea and vomiting, abdominal pain, dysphagia. Acid reflux, heartburn, abdominal bloating and belching were common between MZ and DZ twins without significant difference of constituent ratio. Concordance rates of acid reflux, heartburn, belching, nausea and vomiting, abdominal bloating were higher in MZ than that in DZ twins with statistically significant difference. Habit of eating hot food was related to the presence of upper gastrointestinal tract symptoms. Family history of digestive system tumors had no relationship with presence of upper gastrointestinal tract symptoms. Detection rate and concordance rate of upper gastrointestinal symptoms was similar in MZ and DZ twins with family history. Conclusion Upper gastrointestinal symptoms are not rare in twins. Genetic factors and habit of eating hot food play a role in the presence of upper gastrointestinal tract symptoms.