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台湾一般人群胃食管反流病的流行情况。

Prevalence of gastroesophageal reflux disease in a general population in Taiwan.

机构信息

Department of Family Medicine, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan.

出版信息

J Gastroenterol Hepatol. 2011 Jul;26(7):1164-8. doi: 10.1111/j.1440-1746.2011.06750.x.

Abstract

BACKGROUND AND AIM

To evaluate the prevalence and risk factors of gastroesophageal reflux disease (GERD) in a general population in Taiwan.

METHODS

A validated symptom questionnaire, the Chinese GERD questionnaire, was utilized to determine the prevalence of GERD within a community in Taiwan. A cut-off value for GERD diagnosis was a total score ≥ 12. Additionally, demographic data, including sex, age, body mass index, and consumption of tobacco and alcohol, were recorded, and a logistic regression analysis was conducted to search the independent risk factors for the development of GERD in a general population.

RESULTS

In total, 1238 residents were recruited for this study. The monthly frequencies of heartburn, epigastric acidic discomfort, and acid regurgitation were 4.4%, 3.7%, and 2.9%, respectively. The GERD prevalence was 25% in the community. The multivariate analysis showed that female sex and age of 40-49 years and 50-59 years were independent risk factors related to the development of GERD, with odd ratios of 1.71, 3.65, and 2.41, respectively (95% confidence intervals: 1.26-2.34, 1.62-8.21, and 1.11-2.54, respectively).

CONCLUSIONS

GERD has become a common disorder in the general population in Taiwan. Female sex and age of 40-49 years and 50-59 years are risk factors for the development of GERD within a community.

摘要

背景与目的

评估台湾一般人群中胃食管反流病(GERD)的患病率和危险因素。

方法

采用经过验证的症状问卷,即中文 GERD 问卷,来确定台湾社区中 GERD 的患病率。GERD 诊断的截断值为总分为≥12。此外,记录了人口统计学数据,包括性别、年龄、体重指数以及烟草和酒精的摄入情况,并进行了 logistic 回归分析,以寻找一般人群中 GERD 发病的独立危险因素。

结果

本研究共招募了 1238 名居民。每月烧心、上腹痛酸不适和胃酸反流的频率分别为 4.4%、3.7%和 2.9%。社区中 GERD 的患病率为 25%。多变量分析显示,女性和 40-49 岁及 50-59 岁年龄是与 GERD 发生相关的独立危险因素,比值比分别为 1.71、3.65 和 2.41(95%置信区间:1.26-2.34、1.62-8.21 和 1.11-2.54)。

结论

GERD 已成为台湾一般人群中的常见疾病。女性和 40-49 岁及 50-59 岁年龄是社区中 GERD 发病的危险因素。

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