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目的分析维吾尔族、汉族老年患者胃食管反流病亚型的患病情况,并探讨各民族高发类型的危险因素。方法回顾性分析新疆维吾尔自治区人民医院胃食管反流病老年男性患者,共收集有效患者469例,其中维吾尔族256例,汉族213例,比较胃食管反流病三种类型的发生率及差异,并进行民族高发类型的危险因素Logistic回归分析。结果维吾尔族老年男性患者反流性食管炎发生率高于汉族老年男性,而汉族老年男性Barrett食管的发生率高于维吾尔族老年男性,差异有统计学意义(P<0.05)。多因素Logistic分析结果显示,进食过饱、睡前进食、喜油腻食物、高身体质量指数(BMI)、食管裂孔疝是维吾尔族老年男性发生反流性食管炎的重要危险因素,而吸烟、饮酒、高BMI是汉族老年男性发生Barrett食管的危险因素。结论维吾尔族、汉族老年男性胃食管反流病三种比例分型有所不同,其危险因素有差异,但均与BMI、不良生活习惯密切相关。
Objective To analyze the prevalence of gastroesophageal reflux disease subtypes in elderly patients of Uygur and Han ethnic groups and to explore the risk factors of high prevalence among ethnic groups. Methods A retrospective analysis of the elderly male patients with gastroesophageal reflux disease in People’s Hospital of Xinjiang Uygur Autonomous Region collected a total of 469 effective patients, including 256 Uighurs and 213 Han patients. The incidence and differences of three types of gastroesophageal reflux disease were compared. Logistic regression analysis was performed on the risk factors of ethnic high incidence. Results The incidence of reflux esophagitis in elderly male patients was higher than that in Han elderly men, while the incidence of Barrett’s esophagus in elderly Han men was higher than that of Uyghur elderly men (P <0.05). Multivariate logistic analysis showed that eating fullness, eating at bedtime, greasy food, high body mass index (BMI) and hiatal hernia were the important risk factors of reflux esophagitis in the elderly Uighur men, while smoking, drinking , High BMI is a risk factor for Barrett’s esophagus in elderly Han Chinese. Conclusions There are differences in the three types of GERD between Uygur and Han nationality men and their risk factors are different, but they are closely related to BMI and bad habits.