喉喉逆流的患病率和医生中的预测因素
Dianitta Devapriya Veronica1, Shyam Sudhakar Sudarsan2, Prem Kumar3
1Department of ENT and Head & Neck Surgery, A.C.S. Medical College and Hospital, Dr. MGR Educational and Research Institute, Chennai, India.
概括
喉回流 (LPR) 在医生中比以前认为的更为常见,经常表现为一种沉默的疾病. 轮班工作,不规则的饮食,习惯和长时间的工作时间显著增加了医疗专业人员的LPR风险.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 胃肠病学 胃肠病学
- 职业健康 职业健康 职业健康
背景情况:
- 喉回流 (Laryngopharyngeal reflux,简称LPR) 是胃内含物向后流入喉的情况.
- 虽然LPR在一般人群中进行了研究,但像医生这样的特定高风险队伍仍未得到充分研究.
- 现有的文献缺乏医学专业界对LPR患病率的研究.
研究的目的:
- 为了估计医生中LPR的患病率.
- 为医疗专业人员开发LPR风险因素的预测模型.
- 确定在这个群体中导致LPR的关键职业和生活方式因素.
主要方法:
- 一项涉及822名医生的横截面研究.
- 通过调查 (人口统计,工作细节,RSI分数) 和使用视频鼻镜进行全面的 ENT 检查来收集数据.
- 统计分析包括描述性统计,流行率,相关性和回归,以开发预测模型.
主要成果:
- 在被研究的医生队列中观察到高于预期的LPR患病率.
- 确定的重大风险因素包括轮班工作 (OR 8.292),不规则的饮食 (OR 4.455),习惯 (OR 2.918) 和延长工作时间 (OR 0.981).
- 在开发的模型中,年龄和性别不是统计学上显著的预测因素.
结论:
- 在医生中,LPR似乎是一个普遍的,可能是沉默的疾病.
- 职业因素,如轮班工作和长时间工作,以及生活方式的选择,是这个群体中LPR的关键驱动因素.
- 建议包括修改工作时间表,改善饮食习惯,减少与工作有关的压力,以管理医疗保健专业人员的LPR.
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