首页|咀嚼槟榔与胃食管反流病内镜下食管黏膜损伤程度分级及组织病理的关系分析

咀嚼槟榔与胃食管反流病内镜下食管黏膜损伤程度分级及组织病理的关系分析

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目的 探讨咀嚼槟榔与胃食管反流病(GERD)内镜下食管粘膜损伤程度分级及组织病理的关系。方法 选取2020年8月至2023年8月收治的196例GERD患者作为研究对象,所有患者均进行内镜检查,根据患者咀嚼槟榔情况分为轻度组、中度组和重度组,比较3组内镜下食管黏膜损伤程度分级和组织病理情况,并分析咀嚼槟榔与GERD内镜下食管黏膜损伤程度分级及组织病理的关系。结果 轻度组食管黏膜损伤程度优于中度组和重度组(Z=38。85,P<0。05);轻度组病理组织学结果优于中度组和重度组(Z=31。99,P<0。05);Spearman相关性检验显示,咀嚼槟榔与GERD内镜下食管黏膜损伤程度分级和组织病理学结果均呈正相关(r=0。346;r=0。281,P<0。05)。结论 咀嚼槟榔与GERD内镜下食管黏膜损伤程度分级和组织病理相关,可为临床GERD的诊断提供参考。
Relationship between chewing areca nut and grading of endoscopic esophageal mucosal injury,histopathology in gastroesophageal reflux disease
Objective To explore the relationship between chewing areca nut and grading of endoscopic esophageal mucosal injury,histopathology in gastroesophageal reflux disease(GERD).Methods A total of 196 patients with GERD were enrolled as the research objects between August 2020 and August 2023.All patients underwent endoscopy.According to chewing degree of areca nut,patients were divided into mild group,moderate group and severe group.The grading of endoscopic esophageal mucosal injury and histopathology in the three groups were compared.The relationship between chewing areca nut and grading of endoscopic esophageal mucosal injury,and histopathology in GERD was analyzed.Results The esophageal mucosal injury in mild group was milder than that in moderate group and severe group(Z=38.85,P<0.05),and histopathology results were better than those in moderate group and severe group(Z=31.99,P<0.05).Spearman correlation test showed that chewing areca nut was positively correlated with the grading of endoscopic esophageal mucosal injury and histopathology results in GERD(r=0.346;r=0.281,P<0.05).Conclusion Chewing areca nut is related to the grading of endo-scopic esophageal mucosal injury and histopathology in GERD,which can provide a reference for clinical diagnosis of GERD

Gastroesophageal refluxChewing areca nutGrading of esophageal mucosal injuryHistopathology

姜跃红、陈鸿诗、马子怡

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572536 海南省乐东黎族自治县第二人民医院消化内科

长治医学院第一临床学院

胃食管反流 咀嚼槟榔 食管黏膜损伤程度分级 组织病理

2024

山西医药杂志
山西医药卫生传媒集团有限责任公司

山西医药杂志

影响因子:0.504
ISSN:0253-9926
年,卷(期):2024.53(16)