北京地区老年人胃食管反流症状流行病学调查  

Epidemiologic investigation in elderly subjects with symptomatic gastroesophageal reflux

作　　者：吴本俨[1] 邵勇[1] 李园[1] 王升[1] 尚铁跃 雷全友 

机构地区：[1]解放军总医院南楼消化科,北京100853 [2]总装备部门诊部

出　　处：《军医进修学院学报》2004年第2期110-112,共3页Academic Journal of Pla Postgraduate Medical School

基　　金：总装备部科研基金资助项目(51422030101 JB1003)

摘　　要：目的:调查老年人胃食管反流相关症状的发生率,为提高老年人胃食管反流病诊治水平提供依据。方法:应用整群不等比抽样方法对2 000例老年人进行问卷调查。根据烧心、反酸、反食的程度和频度作为症状评分依据。以症状评分≥6分为胃食管反流相关症状病例组,<5分为非病例组。结果:在1936例有效问卷中,胃食管反流相关症状发生率为8.63％,不同老龄组分别为≤70岁组8.59％,71～80岁组为8.61％,>80岁组9.38％。每日有烧心症状者占调查人群总数的3.7％,每周有烧心症状者为4％,累计每月至少有一次烧心者达15.3％。咽喉痛,牙龈炎,夜间呛咳,咳嗽,气管炎及哮喘发生率在反流病例组明显高于非病例组。结论:在国内首先报导了老年人胃食管反流相关症状流行病学调查结果。北京城区老年人症状性胃食管反流发生率为8.63％,但不同年龄老龄组间无明显差异。应重视老年人胃食管反流相关症状以及可能并存的口咽部和呼吸道疾患的防治。Objective: Approach to the prevalence of gastroesophageal reflux disease ( GERD) for the purpose of improving the theraputic level in the elderly cases with GERD. Methods; Investigation was made in Beijing , including 2000 residences aged between 60-96 years old through qustionaries. Heart burn , acid reflux and regurgitation, as symptom indices, were scored according to their intensity and frequency. The score large than 6 was taken as indication of presence of symptomatic GER. Results; Among 2 000 cases, 1 936 subjects completed surveys. Prevalence of symptomatic with GER occurred in 8. 63% the aged people. It was 8.59% of people in ≤70 years old group, 8. 61% people in 71 - 80 years old group and 9. 38% people in >80 years old group respectively. Heartburn occurred once a day in 3.7% aged people, once a week in 4% aged people. There are 15.3% of aged people who had symptom of heartburn at least once a month accumulately. Logistic ananlysis showed that GER had close relationship with night choking, cough .bronchitis , asthma , dental and pharnygo-laryngeal disorders. Conclusion: Prevalence of symptom of GER in 2 000 elderly subjects was first investigated in China . Occurence rate of symptomatic GER was 8. 63% averagely. It suggested that the prevention and therapy of GERD in the elderly is an important task.

关 键 词：北京 老年人 胃食管反流症状 流行病学 调查 烧心 反酸 

分 类 号：R57[医药卫生—消化系统]