反流性食管炎内镜分级与睡眠障碍的研究  

Endoscopic grades and sleep disturbance in reflux esophagitis patients

作　　者：彭丽华[1] 胡景[2] 郭旭[1] 杨云生[1] 

机构地区：[1]解放军总医院消化内科,北京100853 [2]首都医科大学附属复兴医院消化内科,北京100038

出　　处：《军医进修学院学报》2009年第1期67-69,共3页Academic Journal of Pla Postgraduate Medical School

摘　　要：目的:探讨反流性食管炎内镜分级与睡眠障碍的关系。方法:对我院2006年1月-2006年12月经内镜检查确诊为反流性食管炎且排除胃肠道手术史及严重肝、肾、心脑血管病患者共172例病历资料进行分析,其中男136例,女36例,平均年龄(56.7±15.8)岁,按洛杉矶分级法进行内镜分级,同时对患者的睡眠情况进行调查。结果:内镜诊断反流性食管炎A级71例,有睡眠障碍者26例,占36.62%;B级86例,有睡眠障碍者26例,占30.23%;C级11例,有睡眠障碍者4例,占36.36%;D级4例,有睡眠障碍者2例,占50%。不同内镜分级对出现睡眠障碍无显著意义(P>0.05),但对患者症状受睡眠体位影响有显著差异(P<0.05)。结论:反流性食管炎患者睡眠障碍的出现和表现与内镜下分级严重程度无直接相关,但内镜下表现严重的患者症状受睡眠体位的影响更明显。Objective： To investigate the relationship between endoscopic grades and sleep disturbance in patients with reflux esophagitis. Methods： 172 reflux esophagitis patients （ 136 men and 36 women whose mean age was 56.7 ± 15.8） hospitalized from January to December of 2006 were retrospectively analyzed by the Los Angeles classification. A sleep questionnaire was conducted in all the 172 patients. Results： 71 cases were identified as Grade A of reflux esophagitis, and 26 （36.62%） of them had sleep disturbance. 86, 11 and 4 cases were found with Grade B, C and D of reflux esophagitis respectively. 26 （30.23%） of the Grade B cases, 4 （36.36%） of the Grade C cases and 2 （50%） of the Grade D cases suffered sleep disturbance. Endoscopic classification was significantly related to symptoms affected by sleeping postures （P 〈 0. 05 ）. Conclusion： Endoscopic grades were not related to the onset and manifestation of sleep disturbance in patients with reflux esophagitis, but symptoms in those severe patients were affected by sleeping postures more significantly than in those mild and moderate patients.

关 键 词：反流性食管炎 内镜 洛杉矶分级 睡眠障碍 

分 类 号：R571[医药卫生—消化系统]