胃食管反流病的初级保健:发病率、流行病学及患者生活质量调查

来源 :世界核心医学期刊文摘(胃肠病学分册) | 被引量 : 0次 | 上传用户:weiweilee
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Aim-To determine the prevalence of typical symptoms of gastroesophageal reflux disease in a large group of patients consulting their general practitioners(GP) for diverse reasons,as well as the quality-of-life(QoL) of patients with such symptoms.Patients and methods-During the same day,participating GPs(N = 3 200) systematically asked all of their patients about the presence of heartburn and regurgitation.For all patients who responded positively,the GPs filled in a questionnaire and the patient a specific QoL questionnaire.Results-Among 40 982 patients attending GP consultations,4 124(10.1%) had one or both symptoms.Prevalence was higher in men(11.1%) than in women(9.3 %,P < 0.001) ,and increased with age up to 50-59 yrs then slowly declined.Symptoms were present on a weekly basis in 72.8% of patients.Smoking,frequent or nocturnal occurrence of symptoms,regurgitation,and esophagitis were significantly linked up with a higher occurrence of extradigestive symptoms(cough,ENT symptoms,chest pain) .QoL declined with increasing frequency of symptoms,which especially affected food intake,psychology,well-being and daily life.Conclusion-In France,typical symptoms of gastroesophageal reflux disease are observed in 10% of the adult population,and markedly alter their QoL. Aim-To determine the prevalence of typical symptoms of gastroesophageal reflux disease in a large group of patients consulting their general practitioners (GP) for diverse reasons, as well as the quality-of-life (QoL) of patients with such symptoms. Pats and methods-During the same day, participating GPs (N = 3 200) systematically asked all of their patients about the presence of heartburn and regurgitation. For all patients who responded positively, the GPs filled in a questionnaire and the patient a specific QoL questionnaire. Results-Among 40 982 patients attending GP consultations, 4 124 (10.1%) had one or both symptoms .Prevalence was higher in men (11.1%) than in women (9.3%, P <0.001), and increased with age up to 50 -59 yrs then slowly declined. Symptoms were presented on a weekly basis in 72.8% of patients. Smoking, frequent or nocturnal occurrence of symptoms, regurgitation, and esophagitis were significantly linked up with a higher occurrence of extradigestive symptoms (cough, ENT symptoms, che Statistically-In France, typical symptoms of gastroesophageal reflux disease are observed in 10% of the adult population, and markedly alter their QoL.
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