摘要
【目的】探讨脑性瘫痪对胃食管返流的影响,为临床及时干预提供依据。【方法】利用便携式食管24h连续PH动态监测仪分别检测20例脑性瘫痪组儿童及20名无胃食管返流症状儿童的24 h食管PH值。【结果】脑性瘫痪组儿童的各项参数均明显高于对照组,两组总PH值<4的时间百分比(%)脑性瘫痪组、对照组分别为(15.89±11.04)与(1.88±1.01)、酸性返流发生的总次数为(次/24 h)309.02±165.60与14.73±7.20、返流持续超过5 min的次数为(次/24 h)5.64±3.52与1.02±0.90、返流持续的最长时间(min)为23.38±13.40与4.50±1.90、DeMeester评分为61.42±58.15与2.20±3.50,差异均有非常显著性(P<0.01)。【结论】脑性瘫痪可以引起胃食管返流,应及时给予干预治疗。
[Objective] To investigate the effects of cerebral palsy on gastroesophageal reflux disease (GERI)). [Methods] 24-hour esophageal PH monitoring were performed in 20 cerebral palsy children and 20 asymptomatic children respectively. [Results] The 24-hour esophageal PH monitoring revealed that the varies of acid reflux in cerebral palsy group were all dramatically higher than those of controls. The reflux index(%) was 15.89± 11.04/1.88±1.01 (cerebral palsy group/control group), the number of reflux episodes was(times/24 h) 309.02± 165.60/14.73±7.20, the number of reflux over 5 minutes times / 24h was 5.64± 3.52 / 1.02±0.90, the duration of the longest episode ( min ) was 23.38±13.40/4.50±1.90, DeMeester score was 61.42±58.15/12.20±3.50. The differences were all significant(P〈0.01 ). [Condusion] By the help of 24-hour esophageal PH monitoring, the authors can get information about gastroesophageal motility of cerebral palsy children. The gastroesophageal reflux increases in the cerebral palsy children, early intervention should be given.
出处
《中国儿童保健杂志》
CAS
2006年第1期13-14,共2页
Chinese Journal of Child Health Care
基金
陕西省卫生厅基金项目(04D33)
关键词
脑性瘫痪
24
h食管PH测定
胃食管返流
cerebral palsy
24-hour esophageal PH monitoring
gastroesophgeal reflux