胃食管反流病患者食管外症状发生率及危险因素临床研究.docVIP

胃食管反流病患者食管外症状发生率及危险因素临床研究 　　[摘要]目的 探讨胃食管反流病患者食管外症状的发生率及危险因素。方法 回顾性分析2016年5月～2016年8月我院收治的胃食管反流病患者100例，统计其食管外症状发生率，分析并总结危险因素。结果 100例患者中食管外症状总发生率为43.0%，其中51.2%为反流性咽喉炎，32.6%为反流性咳嗽，16.3%为反流性哮喘；劳累、吸烟、饮食结构、进食过饱、辛辣饮食以及高GERDQ量表评分≥8分是胃食管反流病发生食管外症状的危险因素。结论 劳累、吸烟、饮食结构、进食过饱、辛辣饮食以及高GERDQ量表评分≥8分会增加胃食管反流病患者食管外症状的发生率，在护理中应采取措施对上述危险因素予以积极预防。 　　[关键词]胃食管反流病；食管外症状；发生率；危险因素 　　[中图分类号] R570.2 [文献标识码] A [文章编号] 1674-4721（2017）10（c）-0018-03 　　Clinical study of the incidence of extra-esophageal symptoms and risk factors in patients with gastroesophageal reflux diseases 　　JIE Su-ping1 HUANG Hai-hua2 CHEN Dong-yun1 　　1.Department of Gastroenterology，the People′s Hospital of Ningdu County，Jiangxi Province，Ningdu 342800，China；2.Department of Gastroenterology，the Ruijin People′s Hospital，Jiangxi Province，Ruijin 342500，China 　　[Abstract]Objective To investigate the incidence and risk factors of extra-esophageal symptoms in patients with gastroesophageal reflux diseases.Methods A total of 100 patients with gastroesophageal reflux diseases from May to August in 2016 treated in our hospital were retrospectively analyzed.The incidence of extra-esophageal symptoms was calculated and risk factors were analyzed and summarized.Results Among all these patients，the overall incidence of extra-esophageal symptoms was 43.0%.Among them，reflux laryngitis was 51.2%，reflux cough 32.6%，and reflux asthma 16.3%.The risk factors of occurring extra-esophageal symptoms including tiresome，somking，dietary structure，excessive intake and spicy food，and high GERDQ scale score≥8 points.Conclusion Tiresome，smokeing，dietary structure，excessive intake，spicy diet，and score of high GERDQ scale≥8 will increase the incidence of extra-esophageal symptoms in patients with gastroesophageal reflux diseases.Therefore，measures should be taken in nursing to prevent the above-mentioned risk factors. 　　[Key words]Gastroesophageal reflux disease；Extra-esophageal symptoms；Incidence；Risk factors 　　胃食管反流病是指胃、十二指?c内容物反流入食管引起食管黏膜和食管以外的组织损害