胃食管反流性咳嗽诊治体会

The experience in diagnosis and therapy of gastroesophageal reflux-related chronic cough

胃食管反流病是引起慢性咳嗽的常见原因,本文对20例临床拟诊胃食管反流性咳嗽的病例进行经验性抗反流治疗,治疗方法为奥美拉唑(20 mg,2次/d)加莫沙必利(5 mg,3次/d)治疗4周。结果显示:治疗1周后咳嗽较治疗前有明显减轻者16例(80%),治疗4周后随访12例中咳嗽消失为8例(67%)。对临床拟诊为GERC的患者,经验性的抗反流治疗为首选。

Gastroesophageal reflux disease(GERD) is the common reason of chronic cough.In this paper,20 patients with suspected gastroesophageal reflux-related chronic cough(GERC) were treated with empirical anti-reflux therapy.The treatment protocol included omeprazole(20 mg bid) and Mosapride(5mg tid) for 4 weeks.The result showed that the cough in 16 patients was obviously alleviated after one-week treatment,and the cough in 8 patients disappeared in follow-up of 12 patients after four-week treatment.The suspected ...