摘要
目的探讨胃食管反流病的诊断和治疗。方法对86例胃食管反流病的临床表现进行分析。以剑突下烧灼、反流等典型症状结合相应的检查(内镜有食管炎存在或食管24 h pH监测阳性),或典型症状结合质子泵抑制剂(PPI)试验阳性为临床诊断依据。在改变生活方式的基础上,采用制酸药等药物进行治疗。结果45例患者在治疗后1周症状明显缓解,1个月后症状消失;1周疗效不佳者,加服促动力药及黏膜保护剂继续治疗,症状在2-3个月内均得到有效控制;治疗3个月后,86例接受胃镜复查,除7例仍有轻度充血水肿外,其余79例食管黏膜均恢复正常。结论结合临床表现及相应的辅助诊断措施,可进行有效的诊断食管反流病;制酸药是有效的治疗药物。
Objective To discuss the diagnosis and treatment o reflux gastro - esophagifis. Methods The clinical Materials of 86 cases of such patient were analyzed retrospectively. The esophaoscope was underwent, 24h pH was monitored and as well as PPI. The anti- acid drug was given on the base of changing lifestyle. Results 45 cases had relieved within 1 week and healed after 1 month. The gastro- dnamic drug and mucous protection were taken after 1 week and the patient recovered after 2 - 3 months. 79 cases had cured after 3 months when gastroscope detected and 7 cases had slightly edema and congestion. Condusion The combinafion of clinical manifestations and relative detection might reach right diagnosis and anti - acid drug should be key and effective.
出处
《黑龙江医学》
2007年第4期257-258,共2页
Heilongjiang Medical Journal
关键词
胃食管反流病
诊断
治疗
Reflux gastro - esophagltis
Diagnosis
Treatment
