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功能性消化不良的患病率使用罗马四号问卷在慢性病患者中
Omar Abdelazim1, Alshymaa A Hassnine1, Basma Fathy2
1Department of Tropical Medicine, Minia University, Egypt.
Renal failure
|April 24, 2024
概括
功能性消化不良影响了14.7%的慢性病患者,腹膜疼痛综合征是最常见的亚型. 风险因素包括男性性别,HCV感染和晚期CKD阶段.
科学领域:
- 胃肠病学 胃肠病学
- 腎臟病學 (nephrology) 是一種醫學專業.
- 内部医学 内部医学
背景情况:
- 消化不良症状在慢性病 (CKD) 患者中很常见.
- 在CKD中,腹部不适往往没有可识别的有机原因.
- 了解CKD中功能性消化不良 (FD) 患病率对于患者管理至关重要.
研究的目的:
- 在慢性病 (CKD) 患者中确定功能性消化不良 (FD) 的患病率.
- 为了确定FD在CKD患者中占主导地位的亚型.
- 在CKD人群中探索FD的预测因素.
主要方法:
- 一项涉及150名CKD患者的观察性研究.
- 数据收集包括临床和实验室参数.
- 罗马IV问卷用于FD诊断,随后对确诊病例进行上部肠道内镜检查.
主要成果:
- 在14.7% (22/150) 的CKD患者中诊断出功能性消化不良 (FD).
- 表胃疼痛综合征 (EPS) 是最常见的FD亚型 (59%的病例).
- 预测因素包括慢性HCV感染,血液透析,晚期CKD阶段和低EGFR.
结论:
- 在CKD患者中FD的患病率为14.7%,以EPS为主要亚型.
- 男性性别,HCV感染,较高的CKD阶段和受损的eGFR与FD风险增加有关.
- 这些发现强调了在CKD患者中查FD的重要性.
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