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用于评估胃食管反流的问卷对糖尿病患者有用吗?

Is the questionnaire for the assessment of gastroesophageal reflux useful for diabetic patients?

作者信息

Kinekawa Fumihiko, Kubo Fumiyoshi, Matsuda Kazuya, Kobayashi Mitsuyoshi, Furuta Yasuo, Yamanouchi Hideo, Inoue Hideyuki, Kurata Hirohide, Uchida Yoshihito, Kuriyama Shigeki

机构信息

Third Department of Internal Medicine, Kagawa University School of Medicine, Kagawa, Japan.

出版信息

Scand J Gastroenterol. 2005 Sep;40(9):1017-20. doi: 10.1080/00365520500217043.

Abstract

OBJECTIVE

It has been suggested that the questionnaire reported by Carlsson et al. has high sensitivity in diagnosing gastroesophageal reflux disease (GERD) and is considered to be one of the most useful diagnostic tools for GERD. The aim of the present study was to evaluate the ability of the questionnaire to identify gastroesophageal reflux (GER) diagnosed by 24-h pH monitoring in diabetic patients.

MATERIAL AND METHODS

Fifty-three patients with type 2 diabetes were enrolled in the present study. GER was monitored by means of an antimony electrode. Patients completed the questionnaires immediately before undergoing pH monitoring.

RESULTS

Diabetic patients were found to have few symptoms, and the average score on the questionnaire was extremely low. No significant difference in scores on the questionnaire was observed between patients with and those without GER.

CONCLUSIONS

The questionnaire was shown not to be useful for diagnosing GER as a complication in diabetic patients. We, therefore, should not diagnose GER as a complication in diabetes mellitus on the basis of the questionnaire.

摘要

目的

有人提出卡尔森等人报告的问卷在诊断胃食管反流病(GERD)方面具有高敏感性,被认为是GERD最有用的诊断工具之一。本研究的目的是评估该问卷识别糖尿病患者中通过24小时pH监测诊断出的胃食管反流(GER)的能力。

材料与方法

本研究纳入了53例2型糖尿病患者。通过锑电极监测GER。患者在进行pH监测前立即完成问卷。

结果

发现糖尿病患者症状较少,问卷平均得分极低。有GER和无GER的患者在问卷得分上未观察到显著差异。

结论

该问卷对诊断糖尿病患者的GER并发症无用。因此,我们不应基于该问卷诊断GER为糖尿病并发症。

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