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沙特阿拉伯北部阿赖尔市人群中的胃食管反流病

Gastroesophageal reflux disease among population of Arar City, Northern Saudi Arabia.

作者信息

Alsulobi Anwar Matar, El-Fetoh Nagah Mohamed Abo, Alenezi Sara Ghazi Eid, Alanazi Razan Ahmed, Alenazy Rawan Hamdan Salem, Alenzy Fryail Aied Lafi, Alenzi Amthal Alturqi, Al Hazmy Aisha Melfy, Albathaly Kholoud Obeid, Alruwaili Rehab Jazem Fattal, Alanazi Ibtisam Matan, Alghamdi Ebtihal Ahmad Ali, Alanazi Maryam Saeed, Aienzi Najah Owaed

机构信息

Intern, Faculty of Medicine, Northern Border University, Arar, Kingdom of Saudi Arabia.

Associate Professor of Public Health and Community Medicine, Faculty of Medicine, Northern Border University, Kingdom of Saudi Arabia.

出版信息

Electron Physician. 2017 Oct 25;9(10):5499-5505. doi: 10.19082/5499. eCollection 2017 Oct.

Abstract

BACKGROUND

During the recent decade, several studies about prevalence of symptom-based GERD have revealed increase of its prevalence. In addition to the highly disturbing typical symptoms, it has a series of known consequences and may affect the quality of life.

OBJECTIVE

To determine the prevalence of gastroesophageal reflux disease (GERD) as well as their main characteristics and risk factors among the population of Arar City, Northern Saudi Arabia.

METHODS

A cross-sectional study was carried out on a sample of 302 individuals from population of Arar city from October 01, 2016 to May 30, 2017, using a researcher made questionnaire and checklist. The questionnaire was administrated in online method. Data were analyzed by SPSS version 22, using descriptive statistics and Chi-Square test.

RESULTS

total prevalence of GERD among the studied respondents was 61.8%. In 11.8% there was severe pain. Further, 61.8% reported loss of appetite as an associated condition, 57% reported nausea and vomiting, 55.9% indigestion, 55.4% food regurgitation, 41.4% chest pain and 35.5% headache. The main found risk factors were fatty meals in 84.9% followed by coffee drinking in 77.4%, stress in 71%, spicy food in 58.1% NSAD in 24.7% and smoking in 17.2%. There were no significant effect of sex, age, educational level, marital status or occupational status in the occurrence of GERD (p>0.05).

CONCLUSION

This is the first population-based study in Arar, Northern Saudi Arabia, reporting prevalence of GERD. The rate of 61.8% was substantially high. Coffee drinking, stress, spicy food, prolonged use of NSAID, fatty meals and smoking were the reported risk factors. Population-based endoscopic studies are recommended.

摘要

背景

在最近十年间,多项关于基于症状的胃食管反流病(GERD)患病率的研究显示其患病率有所上升。除了令人极为困扰的典型症状外,它还有一系列已知后果,可能影响生活质量。

目的

确定沙特阿拉伯北部阿拉尔市人群中胃食管反流病(GERD)的患病率及其主要特征和危险因素。

方法

于2016年10月1日至2017年5月30日,对阿拉尔市302名个体进行横断面研究,使用研究者编制的问卷和检查表。问卷通过在线方式发放。数据采用SPSS 22版进行分析,使用描述性统计和卡方检验。

结果

在所研究的受访者中,GERD的总患病率为61.8%。11.8%的人有严重疼痛。此外,61.8%的人报告食欲不振为相关症状,57%的人报告恶心和呕吐,55.9%的人报告消化不良,55.4%的人报告食物反流,41.4%的人报告胸痛,35.5%的人报告头痛。主要发现的危险因素为:84.9%的人认为是油腻食物,其次是77.4%的人认为是喝咖啡,71%的人认为是压力,58.1%的人认为是辛辣食物,24.7%的人认为是长期使用非甾体抗炎药(NSAD),17.2%的人认为是吸烟。性别、年龄、教育程度、婚姻状况或职业状况对GERD的发生没有显著影响(p>0.05)。

结论

这是沙特阿拉伯北部阿拉尔市第一项基于人群的研究,报告了GERD的患病率。高达61.8%的患病率相当高。据报告,喝咖啡、压力、辛辣食物、长期使用非甾体抗炎药、油腻食物和吸烟是危险因素。建议开展基于人群的内镜研究。

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