在间歇性肺部疾病诊所中胃食道逆流的患病率
Nousheen Akhter1, Kamran K Sumalani2, Dimple Chawla2
1Pulmonology, Bahria University Medical and Dental College, Karachi, PAK.
Cureus
|January 27, 2025
概括
胃食道逆流病 (GERD) 在间歇性肺病 (ILD) 患者中非常普遍,这表明它可能在肺纤维化中发挥作用. 需要进一步的研究来确认管理GERD是否会影响ILD的进展.
科学领域:
- 肺部病理学 肺部病理学
- 胃肠病学 胃肠病学
- 内部医学 内部医学
背景情况:
- 间歇性肺病 (ILD) 涉及肺炎和纤维化.
- 胃食道逆流性疾病 (GERD) 在ILD患者中很常见,但其因果关系尚不清楚.
- 在ILD中最佳的GERD诊断和治疗仍未确定,大多数研究都集中在异常性肺纤维化 (IPF) 上.
研究的目的:
- 为了确定GERD在患者呈现给ILD诊所的患病率.
- 调查GERD与各种类型的ILD之间的关联.
- 突出需要在ILD患者中进行GERD调查和管理.
主要方法:
- 在八个月 (2016年5月至12月) 进行的前性研究.
- 包括注册的ILD患者提交给专门诊所.
- 基于典型症状 (心烧,反) 的GERD诊断;记录类固醇和抗逆流药物的使用.
主要成果:
- 研究了79名ILD患者;IPF是最常见的诊断 (40.50%).
- 在ILD患者中,整体GERD患病率为49.36%.
- 根据ILD类型,GERD的患病率有所不同,尤其是IPF (65.6%) 和DIP (100%) 的高.
结论:
- 异常酸性反流 (GERD) 在ILD患者中非常普遍.
- GERD可能是肺纤维化发展的潜在病因因素.
- 对ILD患者来说,最佳的GERD调查和管理至关重要,需要长期跟踪评估治疗影响.
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