针对胃食管反流病患者不良生活习惯的调查研究

发布时间：2019-05-23 16:14

【摘要】：目的:探讨不良生活习惯与胃食管反流病(gastroesophageal reflux disease,GERD)发病的相关性,为临床上给GERD患者进行生活指导提供参考。方法:选取2014年8月至2015年8月期间在中南大学湘雅三医院消化内科门诊就诊的402例GERD患者作为病例组,另选取276例非GERD患者为对照组,通过问卷调查了解GERD患者的不良生活习惯,回顾性分析其与GERD发病的相关性。结果:GERD主要症状发生率前10项依次为反流、反酸、餐后饱胀、烧心、吞咽梗阻或疼痛、上腹部烧灼感、咽部异物感、胸骨后疼痛、慢性咽喉炎、慢性咳嗽。GERD组及非GERD组各种不良生活习惯发生率前8项依次为进食过快、进食过饱、偏好辛辣食物、偏好甜食、紧张焦虑、偏好喝汤、偏好高脂食物、进食过烫。单因素分析显示性别(男性)、年龄(≥60岁老年人群)、BMI、吸烟、饮酒、进食过快、进食过饱、进食过烫、偏好辛辣食物、偏好高脂食物、偏好酸性食物、偏好甜食、偏好硬食、偏好浓茶、偏好咖啡、饭后立即卧床、排便困难、睡眠困难、紧张焦虑、腰带过紧与GERD具有相关性(P0.05)。Logistic多元回归分析显示:GERD的危险因素由大到小依次为进食过快(OR=3.214,95%CI:2.171~4.759,P0.001)、进食过饱(OR=2.936,95%CI:1.981~4.350,P0.001)、老年人群(OR=2.047,95%CI:1.291~3.244,P=0.002)、腰带过紧(OR=2.003,95%CI:1.013~3.961,P=0.046)、进食过烫(OR=1.570,95%CI:1.044~2.362,P=0.030)。结论:GERD在老年人群中高发,GERD的发病与进食过快、进食过饱、腰带过紧、进食过烫等不良生活习惯相关。临床可指导GERD患者进食细嚼慢咽、少吃多餐,避免腰带过紧,提倡温凉饮食,以预防和减少GERD的发生。
[Abstract]:Objective: to investigate the correlation between bad living habits and gastroesophageal reflux disease (gastroesophageal reflux disease,GERD), and to provide reference for GERD patients. Methods: from August 2014 to August 2015, 402 GERD patients were selected as the case group and 276 non-GERD patients as the control group. The bad living habits of GERD patients were investigated by questionnaire, and the correlation between them and the incidence of GERD was analyzed retrospectively. Results: the first 10 main symptoms of GERD were reflux, acid regurgitation, postmeal fullness, heartburn, swallowing obstruction or pain, burning feeling of upper abdomen, foreign body feeling of pharynx, retrosternal pain and chronic pharyngitis. Chronic cough. The first eight items in GERD group and non-GERD group were eating too fast, eating too much, preference for spicy food, preference for sweets, tension and anxiety, preference for soup, preference for high-fat food, excessive consumption. Univariate analysis showed that sex (male), age (), BMI, smoking, drinking, eating too fast, eating too much, eating too hot, preference for spicy food, preference for high-fat food, preference for acidic food, preference for sweets, Prefer hard food, prefer strong tea, prefer coffee, stay in bed immediately after meal, defecate difficult, sleep difficulty, tension and anxiety, There was a correlation between belt tightness and GERD (P 0.05). Logistic multiple regression analysis showed that the risk factors of GERD from large to small were eating too fast (OR=3.214,95%CI:2.171~4.759,P0.001). Overfed (OR=2.936,95%CI:1.981~4.350,P0.001), elderly (OR=2.047,95%CI:1.291~3.244,P=0.002), belt tight (OR=2.003,95%CI:1.013~3.961,P=0.046), Eat too much (OR=1.570,95%CI:1.044~2.362,P=0.030). Conclusion: the incidence of GERD is high in the elderly population. The incidence of GERD is related to the bad living habits such as eating too fast, eating too full, belt too tight, eating too hot and so on. Clinical can guide GERD patients to eat slowly, eat less and eat more, avoid belt tightening, promote warm and cool diet, in order to prevent and reduce the occurrence of GERD.
【作者单位】：中南大学湘雅三医院消化内科;
【基金】：国家自然科学基金(81670509,81541053) 中南大学研究生自主探索创新项目(2016zzts570)~~
【分类号】：R571

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