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重叠性功能性胃肠病对胃食管反流病患者生活质量的影响。

Impact of Overlapping Functional Gastrointestinal Disorders on the Quality of Life in Patients With Gastroesophageal Reflux Disease.

作者信息

Lee Shou-Wu, Chang Chi-Sen

机构信息

Division of Gastroenterology, Department of Internal Medicine, Taichung Veterans General Hospital, Taichung, Taiwan.

Department of Internal Medicine, Chung Shan Medical University, Taichung, Taiwan.

出版信息

J Neurogastroenterol Motil. 2021 Apr 30;27(2):176-184. doi: 10.5056/jnm19006.

Abstract

Gastroesophageal reflux disease (GERD) and functional gastrointestinal disorders (FGIDs), including irritable bowel syndrome and functional dyspepsia, are common afflictions within the general population. Both conditions have a considerable impact on the daily health related quality of life (HRQoL) of affected individuals. Risk factors surrounding any impaired HRQoL in patients with GERD involve those of younger age, obesity, an increase in reflux symptom frequency, and overlapping FGIDs. The risk factors for subjects experiencing an overlap in FGIDs and GERD involve those who are female, younger age, cigarette smoking, non-erosive reflux disease, more GERD symptoms, and psychological performances including anxiety, somatization, and more frequent healthcareseeking behavior. The overlap of GERD and FGIDs is associated with a worsening of both physical and mental health, an increase in bothersome symptoms, impaired functional capacity, and a higher likelihood of consulting a physician. Acid secretion suppressors could offer therapeutic efficacy to some patients experiencing overlapping GERD and FGIDs.

摘要

胃食管反流病(GERD)和功能性胃肠疾病(FGIDs),包括肠易激综合征和功能性消化不良,是普通人群中的常见疾病。这两种疾病对受影响个体的日常健康相关生活质量(HRQoL)都有相当大的影响。GERD患者中任何受损的HRQoL相关风险因素包括年龄较小、肥胖、反流症状频率增加以及重叠的FGIDs。FGIDs和GERD重叠患者的风险因素包括女性、年龄较小、吸烟、非糜烂性反流病、更多GERD症状以及包括焦虑、躯体化和更频繁就医行为在内的心理表现。GERD和FGIDs的重叠与身心健康恶化、烦扰症状增加、功能能力受损以及咨询医生的可能性更高有关。酸分泌抑制剂可能对一些同时患有GERD和FGIDs重叠的患者具有治疗效果。

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