中国初级卫生保健
中國初級衛生保健
중국초급위생보건
CHINESE PRIMARY HEALTH CARE
2009年
7期
117-118
,共2页
胃食管反流病%24h食管pH监测%诊断
胃食管反流病%24h食管pH鑑測%診斷
위식관반류병%24h식관pH감측%진단
gastroesophageal reflux disease%24 h esophageal pH monitoring%diagnosis
目的 探讨24 h食管pH值与胃食管反流之间的关系,为临床诊治胃食管反流病提供科学依据.方法 用CTD-synectics公司便携式动态pH监测仪,对52例有胃食管反流症状者进行24 h食管pH监测.采用Johson和DeMeester6种参数指标,对患者进行综合评分以反映病人的反流程度.结果 监测病例组6种参数指标均显著高于对照组(P<0.01);DeMeester评分>14.72,总阳性率为57.7%;以pH<4的反流次数诊断阳性率最高(57.7%),卧位pH<4的总时间诊断阳性率最低(15.4%).结论 24 h食管pH监测给反流性疾病的诊断和药物治疗提供了依据,提高了对胃食管反流疾病的认识和治疗效果.
目的 探討24 h食管pH值與胃食管反流之間的關繫,為臨床診治胃食管反流病提供科學依據.方法 用CTD-synectics公司便攜式動態pH鑑測儀,對52例有胃食管反流癥狀者進行24 h食管pH鑑測.採用Johson和DeMeester6種參數指標,對患者進行綜閤評分以反映病人的反流程度.結果 鑑測病例組6種參數指標均顯著高于對照組(P<0.01);DeMeester評分>14.72,總暘性率為57.7%;以pH<4的反流次數診斷暘性率最高(57.7%),臥位pH<4的總時間診斷暘性率最低(15.4%).結論 24 h食管pH鑑測給反流性疾病的診斷和藥物治療提供瞭依據,提高瞭對胃食管反流疾病的認識和治療效果.
목적 탐토24 h식관pH치여위식관반류지간적관계,위림상진치위식관반류병제공과학의거.방법 용CTD-synectics공사편휴식동태pH감측의,대52례유위식관반류증상자진행24 h식관pH감측.채용Johson화DeMeester6충삼수지표,대환자진행종합평분이반영병인적반류정도.결과 감측병례조6충삼수지표균현저고우대조조(P<0.01);DeMeester평분>14.72,총양성솔위57.7%;이pH<4적반류차수진단양성솔최고(57.7%),와위pH<4적총시간진단양성솔최저(15.4%).결론 24 h식관pH감측급반류성질병적진단화약물치료제공료의거,제고료대위식관반류질병적인식화치료효과.
OBJECTIVE To discuss the relation between value of 24-hour esophageal pH monitoring and gastroesophageal reflux, and further more provide scientific basis for the clinic diagnosis and treatment of GERD. METHODS CTD-synecties dynamic pH instrument and computer procedure software were used to monitor and analyze 24h pH esophagus value of the 52 eases. Johson and DeMeester's 6 parameters were adopted to evaluate the patients' reflux degree. RESULTS The parameters were respectively between the two groups (P<0.01). The total positive rate of DeMeester score over 14.72 was 57.7%.The total time percentage of pH<4 and the positive diagnosis rate of reflux times were the highest (57.7%). The positive diagnosis rate of total time in under the lying position pH<4 condition was the lowest(15.4%). CONCLUSION 24h pH Dynamic Monitoring is proved to be an objective and effective means of GERD diagnoses and treatment.
