本研究旨在调查中国耳鼻喉科医师对咽喉反流病(LPRD)的认知现状。
多中心横断面测量。
中国不同地区的220个医疗中心。
在2019年11月至2020年12月期间,来自中国220个医疗中心的2254名耳鼻喉科医生成功进行了现场调查。
对LPRD的认识包括对风险因素的知识,症状,喉镜征象,相关疾病,目前的诊断方法和治疗。
听说过LPRD的参与者比例为96.4%,学术会议是最常见的信息来源(73.3%)。最常见的危险因素,症状,喉镜体征,相关疾病,诊断方法和治疗方法为饮酒(44.0%),咽部异物感(66.9%),充血(52.4%),咽喉炎(54.8%),pH监测(47.6%)和药物(82.1%),分别。只有28.3%的参与者知道24小时pH或多通道腔内阻抗pH监测是最准确的诊断测试。多达73.1%的参与者知道质子泵抑制剂是一线治疗药物。使用评分系统对意识的总体状况进行的分析表明,耳鼻喉科医生由于获得更多的访问权限而更好地意识到,在三甲医院工作,研究生及以上学历(均p<0.05)。
尽管大多数中国耳鼻喉科医生都听说过LPRD,他们对这种疾病的整体认识并不令人鼓舞。需要更多的努力来增加这组医生对LPRD的了解。
ChiCTR1900025581。
This study aimed to investigate the status of the current knowledge about laryngopharyngeal reflux disease (LPRD) among Chinese otolaryngologists.
Multi-centre cross-sectional survey.
220 medical centres in different regions of
China.
A total of 2254 otolaryngologists from 220 medical centres in
China who were successfully on-site surveyed between November 2019 and December 2020.
Awareness about LPRD included knowledge about risk factors, symptoms, laryngoscope signs, related diseases, current diagnostic methods and treatments.
The percentage of participants who had heard of LPRD was 96.4%, with academic conferences as the most common source of information (73.3%). The most commonly known risk factor, symptom, laryngoscope sign, related disease, diagnostic method and treatment were alcohol consumption (44.0%), pharyngeal foreign body sensation (66.9%), hyperaemia (52.4%), pharyngolaryngitis (54.8%), pH monitoring (47.6%) and medication (82.1%), respectively. Only 28.3% of all participants knew that 24 h pH or multichannel intraluminal impedance pH monitoring was the most accurate diagnostic test. As many as 73.1% of all participants knew that proton pump inhibitors were the first-line treatment drugs. An analysis of the overall status of awareness using a scoring system suggested that otolaryngologists were better aware owing to more access, working at 3A hospitals, and postgraduate or above educational background (all p<0.05).
Although the majority of Chinese otolaryngologists had heard of LPRD, their overall awareness about the disease was not encouraging. More efforts are needed to increase the knowledge about LPRD among this group of physicians.
ChiCTR1900025581.