中国人群中耳鼻咽喉头颈外科门诊患者不同年龄和性别的反流特征调查。

IF 2.5 4区医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY

Journal of Voice Pub Date : 2025-01-01 DOI:10.1016/j.jvoice.2022.07.024

Xiaoyu Wang , Jinhong Zhang , Zhi Liu , Chun Zhang , Shizhen Zou , Jinrang Li

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引用次数: 0

摘要

目的通过反流症状量表-12（RSS-12）和胃食管反流病问卷（GERD-Q）调查耳鼻咽喉头颈外科门诊反流病患者的特征：所有纳入的患者均填写了 RSS-12 和 GERD-Q 量表，RSS-12 分值大于 11 分视为患有 LPR，GERD-Q 分值大于 7 分视为患有胃食管反流病：RSS-12和GERD-Q评分的平均值分别为11.32±21.34和6.31±1.21，LPR和GERD的阳性率分别为28.76%和8.90%。男性患 LPR 和胃食管反流病的阳性率高于女性，而且有更多男性 LPR 患者同时患有胃食管反流病。在同时患有胃食管返流和胃食管反流的患者中，男性的耳鼻喉症状（如声音嘶哑和咽喉粘液过多）评分明显高于女性。老年患者（60 岁以上）的耳鼻喉、消化道和呼吸道症状评分以及症状对生活质量的影响均高于年轻患者（18-40 岁和 41-60 岁）：结论：在中国人群中，耳鼻咽喉头颈外科门诊患者的反流特征因性别和年龄而异。男性有更严重的耳鼻喉相关不适症状，而女性则有更多的消化道症状。年龄较大的患者在耳鼻喉科、消化道和呼吸道症状方面的得分较高。

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Investigation of Reflux Characteristics in Outpatients of Otorhinolaryngology-Head and Neck Surgery by Age and Gender in the Chinese Population

Objective

To investigate the characteristics of patients with reflux diseases in the otorhinolaryngology-head and neck surgery clinics through the Reflux Symptom Scale-12 (RSS-12) and the Gastroesophageal Reflux Disease Questionnaire (GERD-Q).

Methods

All included patients completed the RSS-12 and GERD-Q scales and were considered to have LPR with an RSS-12 score >11 and GERD with a GERD-Q score >7. Data were analyzed according to genders (male and female) and age (18-40, 41-60, and >60 years).

Results

A total of 977 patients were included. the mean RSS-12 and GERD-Q score were 11.32±21.34 and 6.31±1.21, and the positive rate of LPR and GERD were 28.76% and 8.90%, respectively. Males had a higher positive rate of LPR and GERD than females, and there were more males with LPR who also had GERD. Among those with both LPR and GERD, males had significantly higher ear-nose-throat (ENT) symptom scores such as hoarseness and excess throat mucus than females. However, females had significantly higher scores of gastrointestinal (GI) symptoms, mainly indigestion and abdominal pain, and elder patients (>60 years) had higher scores of ENT, GI, respiratory symptoms, as well as the impact of symptoms on quality of life than the young patients (18-40, and 41-60 years).

Conclusion

Patients in the otorhinolaryngology-head and neck surgery clinics have different reflux characteristics by gender and age in the Chinese population. Males had more severe ENT-related symptoms of distress, while females had more complaints of GI symptoms. Older patients had higher scores for ENT, GI and respiratory symptoms.

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来源期刊

Journal of Voice 医学-耳鼻喉科学

CiteScore

4.00

自引率

13.60%

发文量

395

审稿时长

59 days

期刊介绍： The Journal of Voice is widely regarded as the world''s premiere journal for voice medicine and research. This peer-reviewed publication is listed in Index Medicus and is indexed by the Institute for Scientific Information. The journal contains articles written by experts throughout the world on all topics in voice sciences, voice medicine and surgery, and speech-language pathologists'' management of voice-related problems. The journal includes clinical articles, clinical research, and laboratory research. Members of the Foundation receive the journal as a benefit of membership.