消化内科门诊胃食管反流病诊断问卷诊断胃食管反流病的状况及症状特征分析

目的利用胃食管反流病诊断问卷（Reflux disease questionnaire，RDQ）分析消化专家门诊胃食管反流病（GERD）患病情况及患者症状特征。方法对就诊于我院消化专家门诊的1636例患者进行RDQ问卷调查，得分≥12分者诊断为GERD。根据RDQ内容对GERD患者症状特点进行分析。结果1636例消化专家门诊的患者中，GERD的发生率为10．8％。男女发病无差异（11．0％VS10．5％，P〉0．05）。60岁以上年龄组GERD的患病率最高（14．6％），而15～30岁年龄组患病率最低（7．7％）。各年龄组内患病率性别间比较差异无显著性。GERD症状中，烧心与反酸为最常见的症状。症状频率积分比严重程度积分更重要（P〈0．05）。结论消化门诊就诊患者GERD患病率较高。GERD患病无性别差异。老年人的GERD患病率高于其他年龄组。烧心和反酸为GERD最常见的症状。症状发生频率比严重程度对GERD的诊断更有意义。

The usage of RDQ questionaire for the diagnosis of gastroesophageal reflux disease in gastroenterological outpatient department and the characteristics of reflux symptoms in patients with GERD

Objective To investigate the prevalence and symptom features＇of patients with GERD in outpatient department of gastroenterology according to RDQ. Methods 1636 consecutive patients in the outpatient department of gastroenterology in Wuhan union hospital were asked to fill up a validated Chinese version RDQ. The critical point of RDQ score for the diagnosis of GERD is over 12. The symptom features were analysed according to RDQ. Results In 1636 cases, 176 patients （ 10.8% ） were diagnosed as GERD according to their RDQ score. There was no difference in the prevalence between male （ 11.0% ） and female（ 10.5% ）. The prevalence in the group over 60 years old was the highest （ 14. 6% ） , while in the group from 15 to 30 years old was the lowest（7.7% ）. Heartburn and acid reflux were most common symptoms in the patients with GERD. The symptom score according to frequency was more important than that according to severity （ P 〈 0.05 ）. Conclusion There is a high prevalence of GERD in outpatients of gastroenterological department. There were no gender differences in GERD prevalence. Heartburn and acid reflux are the most common symptoms in GERD patients. The frequency of reflux symptoms is more important than the severity of symptoms in diagnosis of GERD.