摘要
目的：分析与探究对胃食管反流性咳嗽患者24 h食管pH值监测的特点。方法：对疑似患有胃食管反流性咳嗽的60例患者进行24 h的食管pH检测。采用Demeester积分≥14.72和/或反流与咳嗽的症状相关概率SAP≥75%为判断标准进行相关分析,并针对监测异常的患者进行相关促进胃动力以及抗酸治疗3周～3个月。结果：经过24 h的pH值监测后,结果无异常患者15例,异常患者45例,其中经过相关治疗3～4周咳嗽症状无缓解者10例,其可能为剧烈咳嗽所致的恶心反流,3个月后5例患者咳嗽症状减缓不明显,经分析可能为胆汁反流所致,30患者咳嗽症状基本得以控制。结论：胃食管反流性咳嗽患者24 h食管pH值检测对由于胃食管反流所致咳嗽的诊断具有重要的意义。
Objective：To analysis and research on the stomach esophagus regurgitation cough detection in patients with 24 hour esophageal pH value. Method：The suspected patients with gastroesophageal reflux cough 60 patients of esophageal pH for 24 h. Adopt Demeester score of 14.72 or higher and/or reverse flow associated with the symptoms of cough probability analyzing related SAP 75%or higher as the judgment standard,and for monitoring patients with abnormal for promoting gastric dynamics and acid treatment for three weeks to three months.Result：After 24 hours of pH monitoring,and the results of 15 patients with no exception,45 patients with abnormal,after treatment of 3-4 weeks no relieve a cough of 10 cases,it may be as rough cough due to nausea reflux,after 3 months of 5 patients with cough reduce is not obvious,the analysis may be caused by bile reflux,30 patients with cough basic to control,accounting for 50%of the total number of patients to monitor.Conclusion：Gastroesophageal reflux cough detection in patients with 24 hour esophageal pH value on the diagnosis of cough caused by gastroesophageal reflux has important significance.
出处
《中外医学研究》
2014年第14期60-61,共2页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
胃食管反流
慢性咳嗽
24
h食管pH检测
Gastroesophageal reflux
Chronic cough
24 h esophageal pH monitoring
