CAJ | 학술논문

目的探讨采用耐信量表诊断胃食管反流病(GERD)在临床中的可行性.方法以内窥镜检查、24小时食管 PH 连续监测和或质子泵抑制剂试验(PPI试验)作为诊断胃食管反流病(GERD)的金标准,抽取有上消化道反酸、烧心等症状的患者86例,分别行耐信量表(RDQ)测定后进行比较.结果 RDQ 高于 l2分的患者中内窥镜下有反流性食管炎表现且有幽门螺杆菌感染者占64.2%;RDQ 低于12分的患者中内窥镜下无反流性食管炎表现且24小时食管 HP 为阴性的者占42.1%.结论利用耐信量表(RDQ)分值初诊胃食管反流病(GERD)有一定可行性,而且操作简便,受检者无痛苦,费用低,值得临床推广应用.
목적탐토채용내신량표진단위식관반류병(GERD)재림상중적가행성.방법이내규경검사、24소시식관 PH 련속감측화혹질자빙억제제시험(PPI시험)작위진단위식관반류병(GERD)적금표준,추취유상소화도반산、소심등증상적환자86례,분별행내신량표(RDQ)측정후진행비교.결과 RDQ 고우 l2분적환자중내규경하유반류성식관염표현차유유문라간균감염자점64.2%;RDQ 저우12분적환자중내규경하무반류성식관염표현차24소시식관 HP 위음성적자점42.1%.결론이용내신량표(RDQ)분치초진위식관반류병(GERD)유일정가행성,이차조작간편,수검자무통고,비용저,치득림상추엄응용.
Purpose:To investigate the clinical feasibility in the diagnosis of gastroesophageal reflux disease(GERD) by using RDQ table. Methods:In the premise of the gold standard in the diagnosis of gastroesophageal reflux disease(GERD) consisting of endoscopy,24-hour esophageal PH continuous monitoring and/or Proton Pump Inhibitor test ( PPI test), 86 patients with upper gastrointestinal acid reflux, heartburn and other symptoms were treated with Nexium Scale (RDQ) determination,and then the measurement results are compared. Results:Patients with RDQ higher than 12 points 64.2% of the patients the RDQ score higher than 12 points exhibited symptoms of reflux esophagitis and Helicobacter pylori infection in endoscopic;42.1% of the patients the RDQ score lower than 12 points showed no symptoms of reflux esophagitis in endoscopic and their 24-hour esophageal HP was negative. Conclusion:The use of Nexium Scale(RDQ)score with newly diagnosed gastroesophageal reflux disease(GERD)is feasible,easy to operate,no pain on subjects, lower cost, and is worthy of clinical application.