中国煤炭工业医学杂志
中國煤炭工業醫學雜誌
중국매탄공업의학잡지
CHINESE JOURNAL OF COAL INDUSTRY MEDICINE
2015年
4期
631-634
,共4页
胃食管反流病%危险因素%病例对照研究%矿区居民
胃食管反流病%危險因素%病例對照研究%礦區居民
위식관반류병%위험인소%병례대조연구%광구거민
Gastroesophageal reflux disease%Risk factors%Case control study%Mine resident
目的：分析矿区居民胃食管反流病(GERD)的相关危险因素,为矿区居民提供科学的防治措施。方法使用胃食管反流病量表(RDQ)调查胃食管反流症状的患者,RDQ 评分≥12分或者胃镜下有反流性食管炎典型图像作为病例组,以非 GERD 患者作为对照组,分析可能的危险因素,有统计学意义的因素进一步作 Logistic 回归。结果单因素分析显示年龄、腹围、体重指数(BMI)、性别、咖啡、油腻食物、进食过饱、食管裂孔疝(HH)、辛辣食物、幽门螺旋杆菌(Hp)、劳累、非甾体抗炎药(NSAIDs)、便秘、职业与矿区居民 GERD 相关(P <0.05)；多因素 Logistic 回归显示 Hp(OR =3.005,P =0.020)、劳累(OR =0.150,P=0.001)、辛辣食物(OR=9.166,P =0.000)、便秘(OR=13.969,P =0.000)为矿区居民 GERD 的危险因素。结论提高对 GERD 相关危险因素的认识,通过对矿区居民加强健康教育、倡导科学的饮食、养成良好的生活习惯和个体化的治疗,提高矿区居民的生活质量。
目的：分析礦區居民胃食管反流病(GERD)的相關危險因素,為礦區居民提供科學的防治措施。方法使用胃食管反流病量錶(RDQ)調查胃食管反流癥狀的患者,RDQ 評分≥12分或者胃鏡下有反流性食管炎典型圖像作為病例組,以非 GERD 患者作為對照組,分析可能的危險因素,有統計學意義的因素進一步作 Logistic 迴歸。結果單因素分析顯示年齡、腹圍、體重指數(BMI)、性彆、咖啡、油膩食物、進食過飽、食管裂孔疝(HH)、辛辣食物、幽門螺鏇桿菌(Hp)、勞纍、非甾體抗炎藥(NSAIDs)、便祕、職業與礦區居民 GERD 相關(P <0.05)；多因素 Logistic 迴歸顯示 Hp(OR =3.005,P =0.020)、勞纍(OR =0.150,P=0.001)、辛辣食物(OR=9.166,P =0.000)、便祕(OR=13.969,P =0.000)為礦區居民 GERD 的危險因素。結論提高對 GERD 相關危險因素的認識,通過對礦區居民加彊健康教育、倡導科學的飲食、養成良好的生活習慣和箇體化的治療,提高礦區居民的生活質量。
목적：분석광구거민위식관반류병(GERD)적상관위험인소,위광구거민제공과학적방치조시。방법사용위식관반류병량표(RDQ)조사위식관반류증상적환자,RDQ 평분≥12분혹자위경하유반류성식관염전형도상작위병례조,이비 GERD 환자작위대조조,분석가능적위험인소,유통계학의의적인소진일보작 Logistic 회귀。결과단인소분석현시년령、복위、체중지수(BMI)、성별、가배、유니식물、진식과포、식관렬공산(HH)、신랄식물、유문라선간균(Hp)、로루、비치체항염약(NSAIDs)、편비、직업여광구거민 GERD 상관(P <0.05)；다인소 Logistic 회귀현시 Hp(OR =3.005,P =0.020)、로루(OR =0.150,P=0.001)、신랄식물(OR=9.166,P =0.000)、편비(OR=13.969,P =0.000)위광구거민 GERD 적위험인소。결론제고대 GERD 상관위험인소적인식,통과대광구거민가강건강교육、창도과학적음식、양성량호적생활습관화개체화적치료,제고광구거민적생활질량。
Objective To analyze related risk factors for GERD residents of the mining area,and to provide a scientific control measures.Methods The patients with gastroesophageal reflux symptoms were investi-gated by using gastroesophageal reflux disease (RDQ)scale,RDQ score≥12 points or endoscopically with reflux esophagitis image were as a typical case group,non- GERD patients as the control group.Some possible risk factors were analyzed in two groups.Results Univariate analysis showed that age,waist circumference,body mass index (BMI),sex,coffee hobby,greasy food,eating too full,hiatal hernia (HH),spicy foods,Helicobacter pylori (Hp)infection,fatigue,non-steroidal anti-inflammatory drugs (NSAIDS),constipation,GERD-related career were relative with GERD mine residents (P <005).Mul-tivariate Logistic regression analysis showed that Hp (OR=3.005,P =0.020),fatigue (OR=0.150,P =0.001),spicy foods (OR=9.166,P = 0.000),constipation (OR=13.969,P =0.000)were the risk fac-tors for GERD mine residents.Conclusion Raising awareness of risk factors associated with GERD for mining area residents can improve the quality of life by enhancing health education,advocating science diet, developing good habits and individualized treatment.
