CAJ | 학술논문

目的：探讨安徽省铜陵地区胃食管反流病（ GERD）的患病情况。方法采用症状问卷筛查方法，通过对2012年铜陵地区3个市级医院的消化专科门诊及病房就诊的人群进行调查，采用Zung抑郁自评量表（ SDS）、Zung焦虑自评量表（ SAS）、中文版SF-36生活质量量表进行研究，并建立数据库，进行统计学分析。结果男性患者患病率高于女性，差异有统计学意义（P＜0．01）；GERD以40～60岁年龄多发，不同年龄组间差异有统计学意义（P＜0．05）；但不同文化程度之间无统计学差异（P＞0．05）；GERD患者合并焦虑、抑郁情况的比例明显高于健康人群，差异有统计学意义（P＜0．05），生活质量与健康人群相比明显下降（P＜0．05）。结论安徽省铜陵地区GERD发病率，与国内患病水平接近；患者易合并抑郁、焦虑，生活质量明显下降，重视GERD患者抑郁、焦虑的治疗，具有非常重要的临床实践意义。
목적：탐토안휘성동릉지구위식관반류병（ GERD）적환병정황。방법채용증상문권사사방법，통과대2012년동릉지구3개시급의원적소화전과문진급병방취진적인군진행조사，채용Zung억욱자평량표（ SDS）、Zung초필자평량표（ SAS）、중문판SF-36생활질량량표진행연구，병건립수거고，진행통계학분석。결과남성환자환병솔고우녀성，차이유통계학의의（P＜0．01）；GERD이40～60세년령다발，불동년령조간차이유통계학의의（P＜0．05）；단불동문화정도지간무통계학차이（P＞0．05）；GERD환자합병초필、억욱정황적비례명현고우건강인군，차이유통계학의의（P＜0．05），생활질량여건강인군상비명현하강（P＜0．05）。결론안휘성동릉지구GERD발병솔，여국내환병수평접근；환자역합병억욱、초필，생활질량명현하강，중시GERD환자억욱、초필적치료，구유비상중요적림상실천의의。
Objective To investigate prevalence of gastroesophageal reflux disease ( GERD) in Tongling prefecture,Anhui province. Methods From January 2012 to December 2012,a symptom questionnaire screening method was adopted among gastroenterological patients in 3 municipal hospitals of Tongling for population screening .Zung self-rating depression scale(SDS),Zung self-rating anxiety scale(SAS),Chinese version of the SF-36 quality of life scale studies were used to establish a database for statistical analysis .Results The male patients had a higher incidence than female patietns ,and there were statistically significant differences (P<0.01).GERD was most likely to develop in patients of 40~60 years old and there were significant differences in age (P<0.05).There were no sig-nificant differences in educational background (P>0.05).GERD patients were more anxious or depressed than the healthy population (P<0.05),and had a significantly lower quality of life compared with heathly population (P<0.05).Conclusions The incidence of GERD in Tongling ,Anhui province ,is close to domestic prevalence levels .Patients tend to develop depression or anxiety with decreased quality of life.Emphasis on treatment of GERD patients has very important clinical significance .