RISK FACTORS FOR EXTRAESOPHAGEAL SYMPTOMS OF GASTROESOPHAGEAL REFLUX DISEASE
Rubrics: INTERNAL DISEASES
Authors:
1.
Buryat State University
(Department of Therapy, Senior Lecturer)
employee from 01.01.1920 until now
Ulan-Ude, Ulan-Ude, Russian Federation
employee from 01.01.1920 until now
Ulan-Ude, Ulan-Ude, Russian Federation
2.
Buryat State University
(Director of Medical Institute)
Ulan-Ude, Ulan-Ude, Russian Federation
Ulan-Ude, Ulan-Ude, Russian Federation
3.
Irkutsk State Medical Academy of Postgraduate Education
(Department of Gerontology and Geriatrics, Associate Professor)
Ulan-Ude, Ulan-Ude, Russian Federation
Ulan-Ude, Ulan-Ude, Russian Federation
4.
Buryat State University
(Department of Foreign Languages, Associate Professor)
employee from 01.01.1920 until now
Ulan-Ude, Ulan-Ude, Russian Federation
employee from 01.01.1920 until now
Ulan-Ude, Ulan-Ude, Russian Federation
Type:
Article
Pages:
from 17
to 20
Status:
Published
Received:
14.11.2017
Accepted:
30.11.2017
Published:
30.11.2017
Subject area:
UDK 61 Медицина. Охрана здоровья
Language:
Russian
Keywords:
gastroezofageal'naya reflyuksnaya bolezn', vnepischevodnye simptomy, faktory riska, povrezhdeniya pischevoda, kachestvo zhizni
Abstract (English):
Cel'yu issledovaniya yavilos' izuchenie chastoty vnepischevodnyh simptomov u bol'nyh gastroezofageal'noy reflyuksnoy bolezn'yu (GERB), a takzhe vyyavlenie faktorov riska razvitiya vnepischevodnyh simptomov, sravnenie pokazateley kachestva zhizni bol'nyh s pischevodnymi i vnepischevodnymi simptomami na ambulatornom prieme. Kriteriyami vklyucheniya byli: vozrast ot 18 do 70 let; otsutstvie organicheskoy soputstvuyuschey patologii. Pischevodnye simptomy gastroezofageal'noy reflyuksnoy bolezni ocenivali s pomosch'yu shkaly Likert, nalichie vnepischevodnyh simptomov diagnostirovali s pomosch'yu rabeprazolovogo testa. Provodili izmerenie okruzhnosti talii, vychislenie indeksa massy tela, osmotr zadney stenki rotoglotki, slizistoy polosti rta i yazyka. Vsem pacientam provodili endoskopicheskoe issledovanie pischevoda, ocenivali kachestvo zhizni s pomosch'yu oprosnika SF-36. Vnepischevodnye simptomy vyyavleny u 38 (31,1 %) pacientov, reflyuks-laringit – u 14 (9,8 %), reflyuks-faringit – u 7 (4,1 %), reflyuks-kashel' – u 11 (7,3 %), kardial'nye simptomy – u 6 (3,2 %). 1-yu gruppu sostavili bol'nye tol'ko s pischevodnymi simptomami, 2-yu gruppu – pacienty s nalichiem vnepischevodnyh simptomov. U pacientov etih grupp sravnivali pokazateli indeksa massy tela, okruzhnosti talii, stazha kureniya, pokazateli kachestva zhizni, vyrazhennost' pischevodnyh simptomov, tyazhest' ezofagita. Ustanovleno, chto chastota vnepischevodnyh simptomov GERB u ambulatornyh pacientov byla vysokoy i sostavila 31,1 %; naibolee chasto vstrechalis' otorinolaringologicheskie i bronholegochnye simptomy. U pacientov s vnepischevodnymi simptomami, po sravneniyu s pacientami, imeyuschimi tol'ko pischevodnye simptomy, byli bolee vysokie pokazateli okruzhnosti talii, bolee intensivnye simptomy otryzhki i regurgitacii i bolee nizkie znacheniya psihologicheskogo komponenta kachestva zhizni.
Cel'yu issledovaniya yavilos' izuchenie chastoty vnepischevodnyh simptomov u bol'nyh gastroezofageal'noy reflyuksnoy bolezn'yu (GERB), a takzhe vyyavlenie faktorov riska razvitiya vnepischevodnyh simptomov, sravnenie pokazateley kachestva zhizni bol'nyh s pischevodnymi i vnepischevodnymi simptomami na ambulatornom prieme. Kriteriyami vklyucheniya byli: vozrast ot 18 do 70 let; otsutstvie organicheskoy soputstvuyuschey patologii. Pischevodnye simptomy gastroezofageal'noy reflyuksnoy bolezni ocenivali s pomosch'yu shkaly Likert, nalichie vnepischevodnyh simptomov diagnostirovali s pomosch'yu rabeprazolovogo testa. Provodili izmerenie okruzhnosti talii, vychislenie indeksa massy tela, osmotr zadney stenki rotoglotki, slizistoy polosti rta i yazyka. Vsem pacientam provodili endoskopicheskoe issledovanie pischevoda, ocenivali kachestvo zhizni s pomosch'yu oprosnika SF-36. Vnepischevodnye simptomy vyyavleny u 38 (31,1 %) pacientov, reflyuks-laringit – u 14 (9,8 %), reflyuks-faringit – u 7 (4,1 %), reflyuks-kashel' – u 11 (7,3 %), kardial'nye simptomy – u 6 (3,2 %). 1-yu gruppu sostavili bol'nye tol'ko s pischevodnymi simptomami, 2-yu gruppu – pacienty s nalichiem vnepischevodnyh simptomov. U pacientov etih grupp sravnivali pokazateli indeksa massy tela, okruzhnosti talii, stazha kureniya, pokazateli kachestva zhizni, vyrazhennost' pischevodnyh simptomov, tyazhest' ezofagita. Ustanovleno, chto chastota vnepischevodnyh simptomov GERB u ambulatornyh pacientov byla vysokoy i sostavila 31,1 %; naibolee chasto vstrechalis' otorinolaringologicheskie i bronholegochnye simptomy. U pacientov s vnepischevodnymi simptomami, po sravneniyu s pacientami, imeyuschimi tol'ko pischevodnye simptomy, byli bolee vysokie pokazateli okruzhnosti talii, bolee intensivnye simptomy otryzhki i regurgitacii i bolee nizkie znacheniya psihologicheskogo komponenta kachestva zhizni.
Keywords:
gastroezofageal'naya reflyuksnaya bolezn', vnepischevodnye simptomy, faktory riska, povrezhdeniya pischevoda, kachestvo zhizni
gastroezofageal'naya reflyuksnaya bolezn', vnepischevodnye simptomy, faktory riska, povrezhdeniya pischevoda, kachestvo zhizni
1. Faktory riska razvitiya vnepischevodnyh
