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[关于日本烧心和反流性食管炎的全国性流行病学调查]

[Nationwide epidemiological survey regarding heartburn and reflux esophagitis in Japanese].

作者信息

Ohara Syuichi, Kouzu Teruo, Kawano Tatsuyuki, Kusano Motoyasu

机构信息

The Health Administration Center, Tohoku University.

出版信息

Nihon Shokakibyo Gakkai Zasshi. 2005 Aug;102(8):1010-24.

Abstract

The details on prevalence of heartburn and reflux esophagitis have not been clarified, since no large-scale survey has been conducted to date. Accordingly, we conducted the nationwide survey regarding prevalence of heartburn and reflux esophagitis by asking new outpatients and patients with the first endoscopy to be performed who visited the medical institutions participating in this survey to fill out the questionnaire and undergo endoscopy. The result showed that heartburn was reported from 1,994 patients (42.2%) out of 4,723, and reflux esophagitis classified as grade A-D was reported from 602 patients (16.7%) out of 3,608. Meanwhile, fat intake, sweet food and anti-inflammatory analgesics were proven to be causes of heart-burn. Furthermore, frequency of heartburn and severity of reflux esophagitis were slightly correlated, although those were not necessarily obviously related.

摘要

由于迄今为止尚未进行大规模调查,烧心和反流性食管炎的患病率细节尚未明确。因此,我们通过让参与本次调查的医疗机构的新门诊患者和首次接受内镜检查的患者填写问卷并接受内镜检查,对烧心和反流性食管炎的患病率进行了全国性调查。结果显示,在4723名患者中,有1994名患者(42.2%)报告有烧心症状,在3608名患者中,有602名患者(16.7%)报告患有A-D级反流性食管炎。同时,脂肪摄入、甜食和消炎镇痛药被证明是烧心的原因。此外,烧心频率与反流性食管炎的严重程度虽不一定明显相关,但略有相关性。

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