糖尿病患者胃食管反流症状的影响因素分析  

Influencing factors of gastroesophageal reflux in diabetic patients

作　　者：罗斌[1] 吴萍[1] 周璐[2] 陈胜芳[1] 汪海晴 王娟[1] 

机构地区：[1]同济大学附属同济医院营养科,上海200065 [2]同济大学附属同济医院消化内科,上海200065

出　　处：《同济大学学报（医学版）》2014年第5期115-118,共4页Journal of Tongji University(Medical Science)

摘　　要：目的分析糖尿病患者胃食管反流症状的影响因素。方法对203例糖尿病患者进行反流性疾病症状问卷(reflux disease questionnaire,RDQ)调查,依据RDQ评分分为RDQ≥12分组和RDQ<12分组,比较两组身高、体质量、体质量指数(body mass index,BMI)、腰围、臀围、腰臀比、糖化血红蛋白、血压,并分析上述测量数据与RDQ评分的相关性。结果 RDQ≥12分组的腰围、腰臀比、糖化血红蛋白明显高于RDQ<12分组,差异有统计学意义(P<0.05);RDQ评分与BMI、腰围、腰臀比、糖化血红蛋白正相关(r分别为0.174、0.397、0.231、0.351,P均<0.05)。结论体质量、BM I、腰围及腰臀,糖化血红蛋白均是糖尿病患者发生胃食管反流症状的影响因素。Objective To investigate the influencing factors of gas troeso phageal reflux in diabetes patients. Methods Gastroesophageal reflux symptoms were surveyed with Reflux Disease Questionnaire（ RDQ） in 203 patients with diabetes. The height,weight,waist circumference（ WC）,hip circumference（ HC）,hemoglobin A1c（ Hb A1c）,blood pressure were measured,and body mass index（ BM I） and waist-to-hip ratio（ WHR） were calculated. BM I,WC,HC,WHR,Hb A1 c,blood pressure were compared between patients with RDQ ≥12 and those with RDQ 12. The correlation of RDQ score with above parameters were analyzed. Results The WC,WHR,Hb A1 c in RDQ ≥12group were significantly higher than those in RDQ 12 group（ P〈0. 05）; the RDQ score was positively correlated with BM I,WC,WHR,Hb A1 c levels（ r = 0. 174,0. 397,0. 231,0. 351 respectively,P〈0. 05）. Conclusion Body weight,BM I,waist circumference and hip circum-ference,Hb A1 c are influencingfactors for gastroesophageal reflux in diabetic patients.

关 键 词：糖尿病 胃食管反流 影响因素 

分 类 号：R587.1[医药卫生—内分泌]