目的:探讨不同类型胃食管反流病食管内pH和食管动力学的差异。方法:根据内镜下表现及病理特征将115例胃食管反流病患者分为糜烂性食管炎(EE)组,非糜烂性反流病(NERD)组,巴雷特食管(BE)组,根据3组患者食管内24 h pH监测指标和食管压力,比...目的:探讨不同类型胃食管反流病食管内pH和食管动力学的差异。方法:根据内镜下表现及病理特征将115例胃食管反流病患者分为糜烂性食管炎(EE)组,非糜烂性反流病(NERD)组,巴雷特食管(BE)组,根据3组患者食管内24 h pH监测指标和食管压力,比较3组患者食管内pH和食管动力学差异。结果:EE组DeMeester评分明显高于NERD和BE两组,而最长反流时间、立位反流时间明显低于NERD和BE两组(P<0.05),组间卧位反流时间比较差异无统计学意义(P>0.05);EE组以重度食管酸暴露为主,占54.17%,NERD组以轻度食管酸暴露为主,占51.35%,BE组以中度食管酸暴露为主,占53.34%。EE组食管括约肌的静息压低于NERD、BE两组,但比较差异无显著性(P>0.05),EE组食管体部压力L3和L8明显高于NERD、BE两组,但食管体部压力L13明显低于NERD、BE两组(P<0.05),组间食管体部压力L18比较差异无统计学意义(P>0.05),EE组无效食管运动数明显多于NERD、BE组。结论:食管内酸反流情况、食管体部蠕动和括约肌功能受限是形成胃食管反流病不同类型损伤的主要原因。展开更多
Poverty has been and is still a major problem India has been facing since her independence.It is extremely glaring in the rural area in India.This article discusses major measures taken by the Indian Government to tac...Poverty has been and is still a major problem India has been facing since her independence.It is extremely glaring in the rural area in India.This article discusses major measures taken by the Indian Government to tackle the problem of rural poverty,the visible effects of such measures and major problems still existing in this aspect.展开更多
文摘目的:探讨不同类型胃食管反流病食管内pH和食管动力学的差异。方法:根据内镜下表现及病理特征将115例胃食管反流病患者分为糜烂性食管炎(EE)组,非糜烂性反流病(NERD)组,巴雷特食管(BE)组,根据3组患者食管内24 h pH监测指标和食管压力,比较3组患者食管内pH和食管动力学差异。结果:EE组DeMeester评分明显高于NERD和BE两组,而最长反流时间、立位反流时间明显低于NERD和BE两组(P<0.05),组间卧位反流时间比较差异无统计学意义(P>0.05);EE组以重度食管酸暴露为主,占54.17%,NERD组以轻度食管酸暴露为主,占51.35%,BE组以中度食管酸暴露为主,占53.34%。EE组食管括约肌的静息压低于NERD、BE两组,但比较差异无显著性(P>0.05),EE组食管体部压力L3和L8明显高于NERD、BE两组,但食管体部压力L13明显低于NERD、BE两组(P<0.05),组间食管体部压力L18比较差异无统计学意义(P>0.05),EE组无效食管运动数明显多于NERD、BE组。结论:食管内酸反流情况、食管体部蠕动和括约肌功能受限是形成胃食管反流病不同类型损伤的主要原因。
文摘Poverty has been and is still a major problem India has been facing since her independence.It is extremely glaring in the rural area in India.This article discusses major measures taken by the Indian Government to tackle the problem of rural poverty,the visible effects of such measures and major problems still existing in this aspect.
