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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%)(P<0.01)。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。
Objective: To investigate the prevalence of gastric reflux disease (GERD), functional bowel disease (FBD) and functional dyspepsia (FD) in elderly patients with sleep disorders. Methods: We chose to participate in our hospital in spring 2012 physical examination of patients with sleep disorders as the survey subjects, “gastrointestinal symptoms questionnaire ” survey and stratified by age for comparison. Results: A total of 377 sleep disorders were enrolled in the study. 129 elderly patients were diagnosed as GERD, FBD and FD (53.53%), the incidence was significantly higher than that of adult patients (45 and 33.06%, P <0.01). The incidence of GERD and functional constipation in elderly patients with sleep disorders was significantly higher than that in the adult group, while the incidence of FD and irritable bowel syndrome were significantly lower than those in the latter (P <0.01-0.05). The incidence of senile sleep disorders Overlapped patients and GERD + FBD subtypes overlap was significantly higher than the adult group, while the incidence of single type was significantly lower than the latter (P <0.01 ~ 0.05). Conclusions: The incidence of GERD, FBD and FD in elderly patients with sleep disorders are higher than those in adults, and mainly are GERD and functional constipation.