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[目的]探讨反流性疾病问卷表(RDQ)在军人胃食管反流病(GERD)中的诊断价值。[方法]采用多阶段、分层、整群随机抽样的方法对驻闽某部军人进行反流性疾病问卷调查,记录被调查者过去4周内烧心、非心源性胸痛、反酸和反流4种症状出现的频率和程度积分,以RDQ评分≥12分作为GERD的诊断标准,计算军人中GERD的患病率,同时分析经电子胃镜检查证实为反流性食管炎(RE)患者的RDQ评分情况。[结果]研究得出军人GERD的患病率为6.77%,经胃镜检查420例中明确诊断为RE 60例(RE组)和内镜检查正常360例(非RE组)的RDQ评分差异有统计学意义(P<0.01),说明评分与发生RE之间有较大关联。[结论]RDQ评分量表可以作为初步诊断军人GERD的一个良好的筛选试验。
[Objective] To investigate the diagnostic value of Reflux Disease Questionnaire (RDQ) in military patients with gastroesophageal reflux disease (GERD). [Methods] A multi-stage, stratified and cluster random sampling method was used to investigate the reflux disease of a military unit in Min-Min, record the heartburn, non-cardiac chest pain, acid reflux and anti Flow of four kinds of symptoms appear frequency and degree of integration, with RDQ score ≥ 12 points as diagnostic criteria for GERD, calculate the prevalence of GERD in military personnel, while the analysis of electron gastroscopy confirmed reflux esophagitis (RE) patients RDQ score. [Results] The prevalence of military GERD was 6.77%. There were statistically significant differences in RDQ scores among 60 cases of RE (defined as RE group) and 360 cases of normal endoscopy (420 cases of non-RE group) by gastroscopy Significance (P <0.01), indicating that there is a large correlation between the score and the occurrence of RE. [Conclusion] The RDQ score scale can be used as a good screening test for the preliminary diagnosis of military GERD.