首都医科大学学报 ›› 2014, Vol. 35 ›› Issue (5): 617-620.doi: 10.3969/j.issn.1006-7795.2014.05.019

• 消化新视野 • 上一篇    下一篇

妊娠期胃食管反流病的症状特点及其对生活质量影响的研究

赵园园, 宋洋, 马海莲, 冀明, 李鹏, 张澍田   

  1. 首都医科大学附属北京友谊医院消化内科, 北京 100050
  • 收稿日期:2014-07-30 出版日期:2014-10-21 发布日期:2014-10-20
  • 通讯作者: 李鹏 E-mail:Lipeng@ccmu.edu.cn
  • 基金资助:

    北京市优秀人才计划(2012D003034000011)。

Symptoms and characteristics of gastroesophageal reflux disease during pregnancy and its effects on quality of life

Zhao Yuanyuan, Song Yang, Ma Hailian, Ji Ming, Li Peng, Zhang Shutian   

  1. Department of Gastroenterology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
  • Received:2014-07-30 Online:2014-10-21 Published:2014-10-20
  • Supported by:

    This study was supported by Plan of Excellent Talents in Beijing City(2012D003034000011).

摘要:

目的 探讨应用反流症状问卷评价妊娠期女性胃食管反流症状的发生率和对生活质量的影响。方法 对120例妊娠不同时期妇女,记录反食或恶心、烧心、胸骨后疼痛、上腹不适4个症状的频率及程度积分,以非孕期女性作为对照,统计各孕期胃食管反流症状的发生率及特点。结果 1各妊娠期入选者在反酸程度与频率及烧心频率3个指标比较,差异有统计学意义(P<0.05)。其中孕早期反流程度频率计分明显高于其他各组,为8.70±6.49。而随着孕期的增加反流程度频率却逐渐降低。2经相关性分析,妊娠呕吐与反流程度频率计分正相关(r=0.69,P<0.01)。3各妊娠期患者生命质量量表评分比较,差异有统计学意义(P<0.05)。结论 妊娠期胃食管反流症状主要与妊娠呕吐相关。反流相关生活质量以妊娠早期最差,而随着孕龄增加,反流相关生活质量有所改善。

关键词: 胃食管反流病, 妊娠期, 妊娠呕吐

Abstract:

Objective To explore the application of reflux symptoms questionnaire to evaluate the incidence of gastroesophageal reflux symptoms during pregnancy and its effects on quality of life.Methods Totally 120 women during different periods of pregnancy were chosen, and their frequency and degree of integration of 4 symptoms of regurgitation of food or nausea, heartburn, retrosternal pain and epigastric discomfort were recorded, and 40 non-pregnant women were enrolled as control, and statistics of the incidence and characteristics of gastroesophageal reflux symptoms during differernt periods of pregnancy were collected.Results 1There were significant differences among the three parameters of degree and frequency of acid regurgitation and frequency of heartburn of subjects during different periods of pregnancy (P<0.05). Among them, score of degree and frequency of reflux during early pregnancy were significantly higher than that of the other groups, and it was 8.70±6.49. However, degree and frequency of reflux gradually decreased with the increase of pregnancy. 2Through correlation analysis, vomiting of pregnancy was positively correlated with score of degree and frequency of reflux (r=0.69, P<0.01). 3Quality of life score of patients during each pregnancy had significant differences, and the results had statistical significance (P<0.05).Conclusion Gastroesophageal reflux symptoms during pregnancy were associated with vomiting of pregnancy. Quality of life was related to reflux during early pregnancy was the worst, and with the increase of gestational age, quality of life related to reflux improved to some extent.

Key words: gastroesophageal reflux disease, pregnancy, vomiting of pregnancy

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