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中华胃食管反流病电子杂志 ›› 2026, Vol. 13 ›› Issue (01) : 31 -36. doi: 10.3877/cma.j.issn.2095-8765.2026.01.005

论著

南疆县级医院耳鼻喉科及消化相关专业医师对喉咽反流性疾病诊断标准与首选用药的掌握情况
汤莹1, 王全胜1, 杜亚云2,()   
  1. 1830000 乌鲁木齐,北京儿童医院新疆医院·新疆维吾尔自治区儿童医院医务部
    2830000 乌鲁木齐,新疆维吾尔自治区第一济困医院人力资源部
  • 收稿日期:2026-01-10 出版日期:2026-02-15
  • 通信作者: 杜亚云

Knowledge of LPRD diagnostic criteria and first-line drugs among otolaryngology and digestive physicians in county-level hospitals of Southern Xinjiang

Ying Tang1, Quansheng Wang1, Yayun Du2,()   

  1. 1Medical Affairs Department, Children’s Hospital of Xinjiang Uygur Autonomous Region, Xinjiang Hospital of Beijing Children’s Hospital, Urumqi 830000, China
    2Human Resources Department, The First Charity Hospital of Xinjiang Uygur Autonomous Region, Urumqi 830000, China
  • Received:2026-01-10 Published:2026-02-15
  • Corresponding author: Yayun Du
引用本文:

汤莹, 王全胜, 杜亚云. 南疆县级医院耳鼻喉科及消化相关专业医师对喉咽反流性疾病诊断标准与首选用药的掌握情况[J/OL]. 中华胃食管反流病电子杂志, 2026, 13(01): 31-36.

Ying Tang, Quansheng Wang, Yayun Du. Knowledge of LPRD diagnostic criteria and first-line drugs among otolaryngology and digestive physicians in county-level hospitals of Southern Xinjiang[J/OL]. Chinese Journal of Gastroesophageal Reflux Disease(Electronic Edition), 2026, 13(01): 31-36.

目的

明确南疆县级医院对喉咽反流性疾病(LPRD)的认知现状,为该病诊治水平提升培训策略制定提供科学依据。

方法

采用整群抽样法抽取10家县级医疗机构,对机构内耳鼻喉科、消化内科及胃肠外科医师开展LPRD知晓情况的横断面调查,采用检验和多因素Logistic回归法分析LPRD知晓情况的影响因素,并绘制受试者工作特征(ROC)曲线,计算曲线下面积(AUC)评价多因素Logistic回归模型预测效能。

结果

共调查医师171名,84.21%听说过喉咽反流性疾病(LPRD),但知晓率仅13.5%,教学书籍(72.9%)为最常见信息来源。其中,15.2%知晓反流症状指数,33.92%能正确使用喉镜下反流体征量表,20.5%知晓24 h MII-pH监测为诊断"金标准",14.6%知晓质子泵抑制剂为首选治疗药物。医师学历、专业及职称影响其LPRD知识知晓情况。本科及以上学历者知晓率高于本科以下学历(OR=12.689),胃肠外科医师知晓率低于耳鼻喉科医师(OR=0.191),中、高级职称医师知晓率高于初级职称医师(OR=15.719、95.415)。

结论

南疆县级医院相关专业医师虽多听闻LPRD,但总体认知水平欠佳,需提升其筛查与救治能力。

Objective

To clarify the current awareness status of laryngopharyngeal reflux disease (LPRD) among County-level Hospitals of Southern Xinjiang, and provide a scientific basis for formulating the disease’s prevention and treatment strategies.

Methods

A total of 10 county-level medical institutions were enrolled using the cluster sampling method. A cross-sectional survey was conducted among physicians in the departments of otorhinolaryngology, gastroenterology, and gastrointestinal surgery to investigate their awareness of laryngopharyngeal reflux disease (LPRD). Chi-square test and multivariate Logistic regression analysis were performed to identify the factors influencing LPRD awareness. Receiver operating characteristic (ROC) curves were plotted and the area under the curve (AUC) was calculated to evaluate the predictive efficacy of the multivariate Logistic regression model.

Results

171 physicians were surveyed. While 84.21% had heard of LPRD, overall awareness was only 13.5%, with textbooks (72.9%) the most common source. 15.2% knew the reflux symptom index; 33.92% could correctly apply the laryngeal reflux sign scale; 20.5% recognized 24-hour MII-pH monitoring as the diagnostic "gold standard" ; 14.6% knew proton pump inhibitors as first-line therapy. Educational background, specialty, and title influenced LPRD knowledge: Bachelor’s or above degree holders had higher awareness than lower-educated counterparts (OR=12.689); gastrointestinal surgeons had lower awareness than otolaryngologists (OR=0.191); intermediate (OR=15.719) and senior (OR=95.415) title holders outperformed juniors.

Conclusion

Though most relevant specialty physicians in county hospitals are aware of LPRD, overall understanding is suboptimal, needing enhanced screening and treatment capabilities.

表1 调查对象的基础人口学特征和LPRD知晓情况差异分析(171名)
图1 LPRD相关知识知晓途径分布情况注:LPRD为咽喉反流性疾病。
图2 LPRD危险因素、症状、喉镜下反流体征和鉴别诊断前五位分布情况注:LPRD为咽喉反流性疾病。
图3 LPRD诊断方法和治疗方法选取情况注:LPRD为咽喉反流性疾病;RSI为反流症状指数量表;RFS为反流体征评分量表。
图4 模型预测概率ROC曲线(AUC=0.905)注:ROC为受试者工作特征;AUC为曲线下面积。
表3 南疆县级医院医师LPRD知晓多因素logistic回归分析
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