胃食管反流病与颈椎病相关性研究

发布时间：2018-11-27 15:50

【摘要】：目的探讨颈椎病患者是否为胃食管反流病(gastroesophageal reflux disease,GERD)的高发人群。方法 321例经临床及磁共振诊断为颈椎病的患者作为颈椎病组,同期选取249名健康体检者作为对照组,进行RDQ评分问卷调查,比较颈椎病组及对照组的RDQ评分及GERD发生率差异是否有统计学意义,颈痛程度与RDQ评分是否相关,并对可能危险因素及颈椎病分型情况进行统计学分析。结果颈椎病组RDQ评分明显高于对照组(P0.05);以RDQ评分≥12分作为GERD评判标准,颈椎病组GERD 43例(13.4%),对照组GERD 17例(6.8%),颈椎病组GERD发生率明显高于对照组(P0.05);不同颈痛程度组间RDQ评分差异有统计学意义(P0.05);各型颈椎病中,交感神经型发生GERD的风险明显高于其他各型(P0.05);颈椎病合并GERD的危险因素主要为女性、非甾体抗炎药和精神心理因素。结论颈椎病患者发生GERD的风险较高,且以交感神经型最为显著。女性、药物和精神心理因素是颈椎病合并GERD的主要危险因素。
[Abstract]:Objective to investigate whether cervical spondylopathy is a high risk group of gastroesophageal reflux disease (gastroesophageal reflux disease,GERD). Methods 321 patients with cervical spondylosis diagnosed by clinical and magnetic resonance imaging were selected as the cervical spondylopathy group and 249 healthy persons as the control group. The RDQ scores were investigated by questionnaire. The RDQ score and GERD incidence of cervical spondylopathy group and control group were compared. The degree of cervical pain was correlated with RDQ score. The possible risk factors and the classification of cervical spondylopathy were analyzed statistically. Results the RDQ score of cervical spondylopathy group was significantly higher than that of control group (P0.05). According to RDQ score 鈮，

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