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两种发病类型的阿喀拉西亚和诊断的长期过程
Akane Kurosugi1, Tomoaki Matsumura2, Michiko Sonoda1
1Department of Gastroenterology, Graduate School of Medicine, Chiba University, Inohana 1-8-1, Chiba, 260-8670, Japan.
概括
秋症的症状可以突然开始或逐渐开始. 这项对阿喀拉西亚患者的研究发现诊断的延迟显著,为该疾病提供了新的见解.
科学领域:
- 胃肠病学 胃肠病学
- 食道疾病 食道疾病
- 临床医学 临床医学
背景情况:
- 秋拉西亚的发病率增加,病因不明.
- 需要了解最初的症状和疾病进展.
研究的目的:
- 调查阿卡拉西亚的初始症状.
- 检查症状的过程和诊断的时间.
- 找出潜在的洞察力,了解阿喀拉西亚的原因和进展.
主要方法:
- 136名患者通过高分辨率测量仪 (HRM) 诊断出阿喀拉西亚.
- 使用问卷和图表审查来收集数据.
- 评估了最初的症状,诊断的时间,并发症,以及与HRM发现和症状严重程度的相关性.
主要成果:
- 发病的平均年龄:42岁;诊断的平均年龄:58岁.
- 从发病到诊断的中位时间:78.6个月;37.3%超过10年.
- 症状发作是逐渐的 (77.6%) 或突然的 (16.4%);急性发作与无水有关于27.3%.
结论:
- 消化管阿喀拉西亚呈现出各种发病模式,包括急性和潜伏性.
- 这些发现可能有助于了解阿喀拉西亚的潜在原因.
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