胃食道逆流病与发生性支气管切除症之间的关联:韩国的全国代表性基于人口的研究
Jiyoung Yoon1, Jai Hoon Yoon2, Heajung Lee3
1Division of Gastroenterology, Department of Internal Medicine, Kangdong Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea.
BMC pulmonary medicine
|December 2, 2025
概括
胃食道逆流性疾病 (GERD) 与支气管切开症的发病率较高有关. 在GERD患者中,支气管切除症的危险因素包括年龄较大,体重不足以及其他呼吸道或胃潰瘍疾病.
科学领域:
- 肺部病理学 肺部病理学
- 胃肠病学 胃肠病学
- 流行病学 流行病学
背景情况:
- 胃食道逆流病 (GERD) 疑似与慢性呼吸道疾病有关.
- 然而,关于GERD对支气管病发病率的影响的数据有限.
研究的目的:
- 调查GERD与发展支气管切除症的风险之间的关联.
- 为了确定患有GERD的个体中支气管切除症的危险因素.
主要方法:
- 一个全国性的索赔数据库被用来识别患有GERD的成年人,并匹配了没有GERD的对照.
- 使用倾向得分匹配来创建可比的队列.
- 进行了Cox比例危险回归分析,以评估支气管切除症的风险.
主要成果:
- 与对照组相比,GERD队列中支气管切除症的发生率明显高 (HR: 1.43,95% CI: 1.13-1.55).
- 增加的GERD严重程度与更高的支气管切除风险相关.
- 在GERD患者中,支气管切除症的主要危险因素包括年龄较大,体重不足,COPD,喘和胃潰瘍疾病.
结论:
- GERD与支气管切除症的风险增加有关.
- 高龄,体重不足,同时存在的呼吸道疾病 (COPD,喘) 和胃潰瘍疾病是GERD患者支气管病变的重要危险因素.
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