胃食管反流病、肥胖症、支气管哮喘:简单组合还是复杂互动

I. Druk, E. Usacheva, E. Nadey, S. S. Safronova, N. A. Usachev
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引用次数: 0

摘要

胃食管反流病(GERD)仍然是初级卫生保健中最常见的疾病之一。近年来,同一患者同时患有几种疾病的情况被广泛讨论。患有多种慢性疾病的人越来越多,这与生活质量的下降、住院和死亡的高风险有关,因此,在初级医疗保健中制定病人管理策略时,有必要考虑到共病/多病/多重疾病的存在。对胃食管反流病、肥胖症和支气管哮喘的研究表明,这些疾病的发生有共同的双向机制。但是,对这些关系的理解还存在许多空白,因此,识别并发疾病非常重要,因为这些疾病可能是导致抗药性的原因,从而对治疗过程形成不利的预后。
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Gastroesophageal reflux disease, obesity, bronchial asthma: simple combination or complex interaction
Gastroesophageal reflux disease (GERD) continues to be one of the most common diseases in primary health care. In recent years, the presence of several diseases in the same patient at the same time has been widely discussed. An increase in persons suffering from several chronic diseases is associated with a deterioration in the quality of life, a high risk of hospitalization and mortality, and taking into account the presence of co/poly/multimorbidity is necessary for decision-making when developing a patient management strategy in primary health care. Studies on GERD, obesity and bronchial asthma have shown that there are common and bidirectional mechanisms in the development of these diseases. And, there are many gaps in understanding these relationships, it is important to identify concomitant diseases, since they can be the cause of resistance to therapy, to form an unfavorable prognosis of their course.
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