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中东地区人口中侵蚀性食道炎的患病率,严重程度和危险因素
Majid Alsahafi1, Fatma Salah1, Hebah Mimish1
1Division of Gastroenterology, Department of Medicine, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia.
概括
侵蚀性食道炎 (EE) 影响了11%的接受食道胃腺镜检查 (EGD) 的患者,而胃食道逆流病 (GERD) 患者的患病率更高. GERD的征兆和缺口是EE的主要危险因素.
科学领域:
- 胃肠病学 胃肠病学
- 流行病学 流行病学
背景情况:
- 侵蚀性食道炎 (EE) 是胃食道逆流症 (GERD) 的常见并发症.
- 在沙特阿拉伯,EE的患病率仍然未具特征.
- 一些EE患者可能不会出现典型的GERD症状.
研究的目的:
- 为了确定沙特人口中EE的流行率.
- 在接受食道胃管腺镜术 (EGD) 的患者中确定与EE相关的风险因素.
主要方法:
- 对在学术高等保健中心接受EGD的成年患者的回顾性审查.
- 收集临床和内镜数据.
- 多变量回归分析以确定EE的独立风险因素.
主要成果:
- 在2805名患者中,11%的患者被诊断出EE;与GERD相关的迹象的患者中有25.6%的患者患有EE.
- 对于与GERD相关的症状 (aOR=3.1) 和椎间 (aOR=1.4) 的EGD与EE有显著的相关性.
- 年龄,性别和BMI与EE无关.
结论:
- 在接受EGD的患者中,EE存在于11%,在患有GERD的患者中,EE存在于25%.
- GERD的征兆和缺口是EE的独立风险因素.
- 这项研究提供了关于沙特阿拉伯EE的关键流行病学数据.
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