不良生活方式对老年高位截瘫患者患胃食管反流病的影响
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摘要
目的研究不良生活方式对老年高位截瘫患者患胃食管反流病(GERD)的影响。方法 2018年1月对山东省泰安荣军医院2015年1月至2017年12月共96例老年高位截瘫住院患者,通过临床观察与面对面访谈式问卷进行调查,并用SPSS对数据进行统计学分析。结果共监测96例老年高位截瘫患者,其中GERD患者52例。饮酒、吸烟、饮食过量、睡眠障碍、D型人格的老年高位截瘫患者的GERD患病率(66.67%、68.97%、58.54%、74.42%、60.24%)高于不饮酒、不吸烟、合理饮食、无睡眠障碍和无D型人格(9.52%、31.58%、37.50%、37.74%、15.38%)的患者(P<0.05)。结论饮食过量、饮酒、吸烟、睡眠障碍、D型人格是老年高位截瘫患者患GERD的危险因素。
Objective To study the effect of unhealthy lifestyle on gastroesophageal reflux disease(GERD)in elderly patients with high paraplegia. Methods The clinical observation andone-on-one interview questionnaire survey were used among 96 elderly patients with high paraplegia in Taian Disabled Soldier Hospital of Shandong,2018.SPSS was used for statistical analysis. Results A total of 96 elderly patients with high paraplegia wereselected,and 52 case of GERD were found.The prevalence rate of GERD in high paraplegia elderly patients with drinking,smoking,overeating,sleep disorder,type D personality(66.67%,68.97%,58.54%,74.42% and 60.24%)was significantly higher than that without(9.52%,31.58%,37.50%,37.74% and 15.38%)(P <0.05). Conclusion Overeating,drinking,smoking,sleep disorder and type D personality are the risk factors of GERD for elderly paraplegic patients.
Objective To study the effect of unhealthy lifestyle on gastroesophageal reflux disease(GERD)in elderly patients with high paraplegia. Methods The clinical observation andone-on-one interview questionnaire survey were used among 96 elderly patients with high paraplegia in Taian Disabled Soldier Hospital of Shandong,2018.SPSS was used for statistical analysis. Results A total of 96 elderly patients with high paraplegia wereselected,and 52 case of GERD were found.The prevalence rate of GERD in high paraplegia elderly patients with drinking,smoking,overeating,sleep disorder,type D personality(66.67%,68.97%,58.54%,74.42% and 60.24%)was significantly higher than that without(9.52%,31.58%,37.50%,37.74% and 15.38%)(P <0.05). Conclusion Overeating,drinking,smoking,sleep disorder and type D personality are the risk factors of GERD for elderly paraplegic patients.
引文
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[2]谷盈盈.截瘫患者罹患反流性食管炎的危险因素调查[D].泰山医学院,2017:1-38.
[3]阎小妍,贺佳,马修强,等.胃食管反流病和胃肠道功能性疾病的调查研究[J].中国卫生统计,2009,26(4):350-351.
[4]Hansen J M,Wildnerchristensen M,Muckadell O B S D.Gastroesophageal Reflux Symptoms in a Danish Population:A Prospective Follow-Up Analysis of Symptoms,Quality of Life,and Health-Care Use[J].American Journal of Gastroenterology,2009,104(10):2 394-2 403.
[5]王炘,詹志刚,吴晓锐,等.胃食管反流病的流行病学研究进展[J].临床消化病杂志,2011,23(6):380-382.
[6]庄惠军.南方某部军人胃食管反流病的流行病学研究[D].福建医科大学,2010.
[7]宋明伟.饮食和精神因素与胃食管反流病患者症状、营养状态的关系研究[D].天津医科大学,2013.
[8]苟丽,郭辉,高峰.肥胖与重度反流性食管炎相关性的病例对照研究[J].中国中西医结合消化杂志,2014,22(7):387-389.
[9]谷盈盈,安康,隋新霞,等.高位截瘫患者罹患反流性食管炎对睡眠质量的影响[J].实用临床护理学杂志(电子版),2017,4(2):8-9.
[10]苟丽.重度胃食管反流病影响因素的相关性分析[D].新疆医科大学,2013.
[11]陈玉岚,袁如华.老年男性胃食管反流病易患因素的研究与预防[J].上海医药,2012,33(4):24-25.
[12]张莉,周丽雅,林三仁,等.山东地区农民胃食管反流病相关危险因素的研究[J].中华内科杂志,2007,46(11):895-898.
[13]Hefner J,Eisenberg D.Social Support and Mental Health Among College Students[J].American Journal of Orthopsychiatry,2010,79(4):491-499.
[14]王伟伟.胃食管反流病患者精神心理状态及其对治疗的影响[D].安徽医科大学,2014.
[15]Van Den Oord,Edwin J.C.G,Van Rossem R.Differences in first graders'school adjustment:The role of classroom characteristics and social structure of the group[J].Journal of School Psychology,2002,40(5):371-394.