| 郭佳.BMI与食管裂孔疝及反流性食管炎的关系.[J].中南医学科学杂志.,2016,(4):432-434, 446. |
| BMI与食管裂孔疝及反流性食管炎的关系 |
| The Relationship Between BMI and Esophageal Hernia andReflux Esophagitis |
| 投稿时间：2016-02-25 修订日期：2016-06-27 |
| DOI： |
| 中文关键词: BMI 食管裂孔疝 血脂 血糖 反流性食管炎 |
| 英文关键词:BMI esophageal hernia blood lipid blood sugar reflux esophagitis |
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| 中文摘要: |
| 目的 分析体重指数(BMI)与食管裂孔疝及反流性食管炎的关系。方法回顾性分析2013年3月~2015年3月在本院接受胃镜的患者的临床资料,根据其检查结果分为反流性食管炎组(98例)和正常组(60例)。比较两组患者的体重指数、食管裂孔疝病史、空腹血糖、血脂水平的差异,比较不同临床特征患者反流性食管炎发生率的差异,采用Logistic回归分析法分析反流性食管炎发生的危险因素。结果反流性食管炎组患者的BMI、血糖、甘油三酯(TG)、低密度脂蛋白(LDL-C)、总胆固醇(TC)等实验室指标均高于正常组,而HDL-C水平低于正常组(P<0.05)；年龄≥50岁、BMI较大、有食管裂孔疝史、合并糖尿病史的患者发生反流性食管炎的机率较大(P<0.05)；Logistic回归分析结果显示:年龄、BMI和食管裂孔疝史是反流性食管炎发生的危险因素(OR=3.659,3.675,3.487,P<0.05)。结论BMI、合并食管裂孔疝与反流性食管炎的发生密切相关,提示临床治疗中应对该类患者给予关注。 |
| 英文摘要: |
| Objective To analyze the relationship between BMI and esophageal and reflux esophagitis.MethodsThe clinical data of patients who underwent gastroscopy in our hospital from March 2013 to March 2015 were retrospectively analyzed.According to the results,the patients were divided into reflux esophagitis group (98 cases) and control group (60 cases).Compared the body mass index,hiatal hernia in history,fasting blood glucose,blood lipid level of the two groups,compared the different clinical characteristics of patients with anti reflux esophagitis incidence rate differences,using logistic regression method to analyze the reflux esophagitis of risk factors.ResultsThe BMI,blood glucose,TC,LDL-C,TC and other laboratory indexes in the reflux esophagitis group were higher than those in the normal group,while the HDL-C level was lower than the normal group,the difference was statistically significant (P<0.05);Patients with age more than or equal to 50 years old,higher body mass index,esophageal hiatal hernia in history,with a history of diabetes presented greater probability of reflux esophagitis,and the difference was statistically significant (P<0.05).Logistic regression analysis revealed that age,BMI and the history of the esophagus were the risk factors for reflux esophagitis (OR=3.659,3.675,3.487,P<0.05).ConclusionBMI and the incidence of reflux esophagitis is closely related with the occurrence of esophageal hernia,which suggests that the clinical treatment should pay attention to this kind of patients. |
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