在社区人口中组织性胃炎的患病率和与表胃疼痛的关联
Rachael Zuzek1,2, Michael Potter1,3,4, Nicholas J Talley5,6,7,8
1Faculty of Health and Medicine, University of Newcastle, Newcastle, Australia.
Digestive diseases and sciences
|December 13, 2023
概括
胃炎影响到40%的人口,往往没有症状. 虽然慢性体内胃炎可能与胃上部疼痛有关,但临床医生一般应避免仅仅将症状归因于组织学性胃炎的发现.
科学领域:
- 胃肠病学 胃肠病学
- 流行病学 流行病学
- 病理学 病理学 病理学
背景情况:
- 胃炎是一种常见的组织学诊断,发达国家患病率正在下降,与降低的Helicobacter pylori感染率有关.
- 对胃炎病因及其与症状的关联的临床理解仍然不确定.
研究的目的:
- 为了确定胃炎病因在瑞典人口样本中的患病率.
- 调查胃炎和胃肠道症状之间的关联.
主要方法:
- 瑞典奥斯塔马尔的一项基于人口的纵向研究,涉及1175名成年人填写胃肠道症状问卷.
- 在368名年龄在20-79岁的符合条件的参与者身上进行了带有活检和H. pylori血清学的食管胃管腺镜术 (EGD).
主要成果:
- 胃炎的患病率为40.2%,反应性胃炎是最常见的亚型 (45.9%),其次是H. pylori (29.7%).
- 胃炎的患病率与年龄和H. pylori状态有显著的相关性.
- 在胃炎患者和没有病理变化的患者之间没有观察到上部胃肠道症状的显著差异,尽管在H. pylori阴性慢性体胃炎中,上胃疼痛更常见.
结论:
- 胃炎是研究人口中普遍存在的疾病 (40%),经常无症状.
- 慢性体胃炎可能与胃上部疼痛有关,需要进一步验证.
- 临床医生在将症状归因于组织学性胃炎诊断时应谨慎行事.
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