摘要
目的探讨胃食管反流性咳嗽的临床表现和治疗。方法对2005年7月～2007年12月解放军533医院收治的35例胃食管反流性咳嗽进行回顾性分析。结果 35例患者中,均以日间咳嗽为重,68.6%表现为进食时、进食后咳嗽;5.7%伴随反流相关症状;11例误诊为慢性咽炎,9例误诊为慢性支气管炎,1例误诊为特发性肺纤维化,误诊率达60.0%。35例通过质子泵抑制剂或H2受体拮抗剂和促胃动力药治疗,治疗总有效率100%。结论胃食管反流性咳嗽是慢性咳嗽的常见原因,抗酸治疗有明显效果。
Objective To study clinical symptoms and diagnostic analysis of gastroesophageal reflux cough.Methods Data of 35 cases（from July,2005 to December,2007）of gastroesophageal reflux cough were retrospective analyzed.Results In all patients cough worsened during day time.Among them,68.6% coughed during and after meal;5.7% had gastroesophageal reflux symptoms.Unfortunately,among these patients,11 cases had been misdiagnosed as chronic pharyngitis,10 cases as chronic chronchtitis,1case as idiopathic pneumonic fibrillation,with misdiagnosis rate of 60%.With treatment of proton pump inhibitor or H2 receptor antagonist and with the medication to promote gastric mobility,100% of the 35 cases healed.Conclusions Gastroesophageal reflux cough is one of the main cause of chronic cough,and antacid treatment is proved to be fairly effective.
出处
《中华保健医学杂志》
2010年第4期283-284,共2页
Chinese Journal of Health Care and Medicine
关键词
胃食管反流性咳嗽
诊断
治疗
Gastroesophageal reflux cough
Diagnosis
Treatment
