张掖市门诊人群胃食管反流症状流行病学调查及影响因素分析

Survey of Epidemiology and Influential Factors of Gastroesophageal Reflux Desease in Zhangye Outpatients

目的调查门诊胃镜检查人群中胃食管反流病（GERD）和反流性食管炎（RE）的患病率，并探讨其相关的危险因素，提出干预措施。方法对9800例门诊就诊的胃镜检查患者（18～80岁）进行问卷调查。以反酸、反食、烧灼感症状的频率及程度的积分（Sc，最高为18分）作为反流的指标。ScI〉6表明存在症状性反流，结合胃镜检查结果诊断为GERD。结果9800例门诊人群中GERD与RE的患病率分别为8．69％、5．57％。调查结果显示，大众对GERD认知度很低，尤其在西部地区，人们对GERD知识普遍缺乏。结论GERD为多发病、饮食习惯、高脂肪食物摄取等因素和反流症状有密切关系。本地区GERD的发病率高于全国水平，且有逐年增高之势。所以，在健康人群中开展干预措施十分必要。

Objective To investigate the morbidity rate of gastroesophageal reflux desease （GERD） and RE in outpatients undergo endoscopy exam, discuss the risk factors and carry out intervention measures. Methods We perform a questionaire survey in 9800 outpatients from 18-80years old who undergo endoscopy exam. Symptom scores （ Sc, the highest Sc is 18） of the degree and frequency of heartburn, acid reflux and regurgitation were taken as indices of acid reflux. Sc≥6 indicates the presence of symptomatic regurgitation, and GERD can be diagnosed based on the result of gastroseopy. Results In our survey,the morbidity rate of GERD and RE are 8.69% and 5.57% ,respectively. We also investigate people in China especially in westem district have little perceive of GERD. Conclusion The GERD are frequently-occurring disease. Eating habits and high-fat feeding are the risk factors of GERD. The morbidity rate in western district is higher than mean level in China, and it increase annually. It is necessary to carry out intervene measures in western district.