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胃食管反流病患者食管外表現(xiàn)的發(fā)生率及危險(xiǎn)因素的研究

發(fā)布時(shí)間:2018-05-14 15:38

  本文選題:新疆胃食管反流病 + 食管外表現(xiàn) ; 參考:《新疆醫(yī)科大學(xué)》2014年碩士論文


【摘要】:目的:研究新疆胃食管反流病(gastroesophageal reflux disease, GERD)患者食管外表現(xiàn)的發(fā)生率及危險(xiǎn)因素。方法:調(diào)查比較新疆GERD患者三種常見(jiàn)食管外表現(xiàn)(反流性咽喉炎、反流性咳嗽和反流性哮喘)的發(fā)生率,分析三種常見(jiàn)食管外表現(xiàn)發(fā)生之間的相關(guān)性,初步探討發(fā)生食管外表現(xiàn)的危險(xiǎn)因素。結(jié)果:①新疆GERD患者三種常見(jiàn)食管外表現(xiàn)的總發(fā)生率為47.01%,其中反流性咽喉炎的發(fā)生率(27.24%)最高,反流性咳嗽(15.67%)次之,反流性哮喘(12.31%)最低;②男性與女性GERD患者三種常見(jiàn)食管外表現(xiàn)的總發(fā)生率、反流性咽喉炎、反流性咳嗽和反流性哮喘的發(fā)生率均無(wú)顯著差異。男性反流性咽喉炎的發(fā)生率最高,反流性咳嗽次之,反流性哮喘最低。女性反流性咽喉炎的發(fā)生率高于反流性咳嗽和反流性哮喘,但反流性咳嗽與反流性哮喘的發(fā)生率無(wú)顯著差異;③維族患者三種食管外表現(xiàn)的總發(fā)生率高于漢族、反流性咽喉炎的發(fā)生率低于漢族,反流性咳嗽和反流性哮喘的發(fā)生率高于漢族。反流性咽喉炎是漢族患者最常見(jiàn)的食管外表現(xiàn),其發(fā)生率高于反流性咳嗽和反流性哮喘,,但漢族患者反流性咳嗽與反流性哮喘的發(fā)生率無(wú)顯著差異。維族患者反流性咽炎、反流性咳嗽和反流性哮喘的發(fā)生率無(wú)顯著差異;④漢族、維族男性與女性患者三種食管外表現(xiàn)總發(fā)生率,反流性咽喉炎、反流性咳嗽和反流性哮喘發(fā)生率均無(wú)顯著差異。漢族男性與女性患者反流性咽喉炎的發(fā)生率均高于反流性咳嗽和反流性哮喘,但反流性咳嗽與反流性哮喘的發(fā)生率無(wú)顯著差異。維族男性與女性患者反流性咽喉炎、反流性咳嗽和反流性哮喘的發(fā)生率無(wú)顯著差異;⑤新疆GERD患者三種常見(jiàn)食管外表現(xiàn)的發(fā)生之間沒(méi)有相關(guān)性;⑥民族為維族、勞累、吸煙、進(jìn)食過(guò)飽、飲食結(jié)構(gòu)以肉食為主、辛辣飲食和高Gerd Q量表評(píng)分是新疆地區(qū)GERD患者發(fā)生食管外表現(xiàn)的危險(xiǎn)因素。結(jié)論:新疆GERD患者食管外表現(xiàn)的發(fā)生率較高;新疆維族患者食管外表現(xiàn)的發(fā)生率與漢族存在顯著差異;新疆GERD患者食管外表現(xiàn)的發(fā)生之間無(wú)相關(guān)性;民族為維族、勞累、吸煙、進(jìn)食過(guò)飽、飲食結(jié)構(gòu)以肉食為主、辛辣飲食和高Gerd Q量表評(píng)分是新疆GERD患者發(fā)生食管外表現(xiàn)的危險(xiǎn)因素。
[Abstract]:Objective: to study the incidence and risk factors of extraesophageal manifestations in patients with gastroesophageal reflux disease (GERD) in Xinjiang. Methods: to compare the incidence of three common extraesophageal manifestations (reflux pharyngitis, reflux cough and reflux asthma) in patients with GERD in Xinjiang, and analyze the correlation among the three common extraesophageal manifestations. Objective: to explore the risk factors of extraesophageal manifestations. Results the total incidence of the three common extraesophageal manifestations of GERD in Xinjiang was 47.01, among which the incidence of reflux laryngitis was 27.24%, the reflux cough 15.67 was the second, and the reflux asthma 12.31) was the lowest. 2There was no significant difference between male and female patients with GERD in the total incidence of three common extraesophageal manifestations, reflux laryngitis, reflux cough and reflux asthma. The incidence of reflux pharyngitis was the highest in males, followed by reflux cough and reflux asthma. The incidence of reflux laryngitis in female was higher than that in reflux cough and reflux asthma, but there was no significant difference in the incidence of reflux cough and reflux asthma. The incidence of reflux pharyngitis was lower than that of Han nationality, and the incidence of reflux cough and reflux asthma was higher than that of Han nationality. Reflux pharyngitis is the most common extraesophageal manifestation in Han nationality, and the incidence of reflux cough and reflux asthma is higher than that of reflux cough and reflux asthma, but there is no significant difference between reflux cough and reflux asthma in Han nationality. There was no significant difference in the incidence of reflux pharyngitis, reflux cough and reflux asthma in Uygur patients. There was no significant difference in the incidence of reflux cough and reflux asthma. The incidence of reflux pharyngitis in male and female patients was higher than that in reflux cough and reflux asthma, but there was no significant difference between reflux cough and reflux asthma. There was no significant difference in the incidence of reflux pharyngitis, reflux cough and reflux asthma between male and female Uygur patients. There was no correlation between the occurrence of three common extraesophageal manifestations in Xinjiang GERD patients. Overeating and eating structure were dominated by meat. Spicy diet and high Gerd Q scale were the risk factors of extraesophageal manifestations in GERD patients in Xinjiang. Conclusion: the incidence of extraesophageal manifestations of GERD patients in Xinjiang is higher, the incidence of extraesophageal manifestations of Uygur patients in Xinjiang is significantly different from that of Han nationality, there is no correlation between the occurrence of extraesophageal manifestations of GERD patients in Xinjiang, the nationalities of Uygur nationality are Uygur, tired, smoking, Overeating and eating structure were dominated by meat. Spicy diet and high Gerd Q scale were the risk factors of extraesophageal manifestations in GERD patients in Xinjiang.
【學(xué)位授予單位】:新疆醫(yī)科大學(xué)
【學(xué)位級(jí)別】:碩士
【學(xué)位授予年份】:2014
【分類(lèi)號(hào)】:R571

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