老年睡眠障碍患者胃管反流病、功能性肠病及功能性消化不良患病的现况调查分析

目的:调查老年睡眠障碍患者胃管反流病(GERD)、功能性肠病(FBD)及功能性消化不良(FD)的患病现况。方法:选择参加我院2012年春季体检人员中有睡眠障碍的患者为调查对象,进行"消化道症状问卷"调查,并按年龄分层进行比较。结果:共入选377例睡眠障碍患者,老年组确诊为GERD、FBD及FD患者129例(53.53%),发生率明显高于成年患者(45例,33.06%)(P0.01)。老年睡眠障碍患者中GERD和功能性便秘的发生率明显高于成年组,而FD及肠易激综合征患病的发生率均明显低于后者(P均0.01~0.05);老年睡眠障碍患者重叠型及GERD+FBD各亚型重叠发生率明显高于成年组,而单一型发生率明显低于后者(P均0.01~0.05)。结论:老年睡眠障碍患者GERD、FBD及FD的发生率均较成年人高,且以GERD及功能性便秘为主。

Current Status Survey on the Gastric Reflux Disease (GERD), Functional Bowel Disorders(FBD) and Functional Dyspepsia(FD) in the Elderly Patients with Sleep Disorders

Objective:To investigate the current status on the gastric reflux disease(GERD), functional bowel disorders(FBD) and functional dyspepsia (FD) in the elderly patients with sleep disorders.Methods:The patients with sleep disorders in our hospital medical staff in the spring of 2012 were selected as the research object, and accepted the "GI symptom questionnaire" investigation, comparison and stratified by the age.Results:377 cases of patients with sleep disorder in elderly group were enrolled, 129 (53.53%) patients were diagnosed as GERD, FBD and FD patients, which was significantly higher than that in the adult group (45 cases, 33.06%) (P<0.01). The percentage of elderly patients with sleep disorder and functional constipation patients with GERD was significantly higher than that of the adult group, while the percentages of FD and irritable bowel syndrome were significantly lower than that of the latter (P<0.01~0.05); the overlapping percentages of GERD+FBD in elderly patients with sleep disorder and percentages of subtypes overlap cases were significantly higher than that of the adult group, and a single type were significantly less than the latter (P<0.01~0.05).Conclusion:The prevalence of elderly patients with sleep disorder of GERD, FBD and FD were significantly higher than the adults, in which GERD and functional constipation were more common.