摘要
目的探究高位截瘫患者反流性食管炎(reflux esophagitis, RE)发生的危险性因素。方法选取2018年11月—2019年11月在该院住院治疗的高位截瘫并RE患者51例为观察组,另选取20例非截瘫RE患者为对照组,调查入组患者的基本身体情况、截瘫患者截瘫病情、胃食管反流病诊断问卷、行为状况、匹茨堡睡眠质量指数、心理状态等。通过单因素分析及多因素分析确定高位截瘫患者反流性食管炎发生的危险性因素。结果观察组胃食管反流病诊断问卷(GerdQ)总分(11.373±1.523)显著高于对照组(8.400±0.843),差异有统计学意义(t=8.226,P<0.05),观察组中吸烟(34/51)、饮酒(48/51)、D型人格(48/51)、匹茨堡睡眠指数(9.685±6.280)分、老年抑郁量表总分数(19.233±3.024)分、医院焦虑抑郁量表总分数(20.123±5.5751)分、老年焦虑量表总分数(12.356±8.018)分等显著性高于对照组患者,进一步研究发现:吸烟、饮酒、睡眠障碍、D型人格是截瘫患者RE的相关危险因素(OR=1.630、1.409、2.933、1.294,P<0.05)。结论吸烟、饮酒、睡眠障碍、D型人格是截瘫患者RE的相关危险因素。
Objective To explore the risk factors of reflux esophagitis(Reflux Esophagitis,RE)in patients with high paraplegia.Methods A total of 51 patients with high paraplegia and RE who were hospitalized in the hospital from November 2018 to November 2019 were selected as the observation group,and 20 non-paraplegic RE patients were selected as the control group,and the basic physical conditions of the enrolled patients were investigated.Paraplegia patients with paraplegia,gastroesophageal reflux disease diagnostic questionnaire,behavioral status,pittsburgh sleep quality index,mental state,etc.Through univariate analysis and multivariate analysis,the risk factors for reflux esophagitis in patients with high paraplegia were determined.Results The total gastroesophagealrefluxdisease questionnaire(GerdQ)score(11.373±1.523)points of the observation group was significantly higher than that of the control group(8.400±0.843)points,the difference was statistically significant(χ^(2)=8.226,P<0.05).The observation group was smoking(34/51),drinking(48/51),and type D personality(48/51),pittsburgh sleep quality index(9.685±6.280)points,total score of the elderly depression scale(19.233±3.024)points,total score of the hospital anxiety and depression scale(20.123±5.575)points,total score of the elderly anxiety scale(12.3562±8.0180)points were significantly higher than those of the control group.Further research found that smoking,drinking,sleep disorders,and type D personality were related risk factors for RE in patients with paraplegia(OR=1.630,1.409,2.933,1.294,P<0.05).Conclusion Smoking,drinking,sleep disorders,type D personality are related risk factors for RE in patients with paraplegia.
作者
谷盈盈
李文勤
侯青芝
张乐
安康
GU Yingying;LI Wenqin;HOU Qingzhi;ZHANG Le;AN kang(The First Ward,Tai'an Rongjun Hospital,Tai'an,Shandong Province,271000 China;Department of Medical Affairs,Tai'an Rongjun Hospital of Shandong Province,Tai'an,Shandong Province,271000 China;School of Public Health,Shandong First Medical University(Shandong Academy of Medical Sciences),Tai'an,Shandong Province,270016 China)
出处
《系统医学》
2021年第7期29-31,共3页
Systems Medicine
