以哮喘为主51例胃食管反流病患者临床分析

Clinical Analysis on 51 Asthma Dominated Gastroesophageal Reflux Diseases

目的：胃食管反流与哮喘是十分常见的疾病,哮喘患儿中50%～80%与胃食管反流密切相关,本文试探讨儿童胃食管返流（Gestro esophageal Reflux,GER）与哮喘的关系。方法：对我院51例有咳嗽、哮喘等呼吸道症状,胸部X线检查及鼻部检查正常,怀疑有胃食管反流病的患儿进行24 h食管p H监测,记录患儿反流与呼吸道症状同时进行抗反流治疗并以51例无呼吸道症状的GER患儿作为对照。结果：以哮喘为主要表现的GER患儿食管24 hp H监测的各项指标与对照组比较有显著差异。抗反流治疗对哮喘治疗有效。结论：胃食管反流并哮喘症状的患儿返流比普通GER严重,对有GER并哮喘症状的患儿,实施抗返流治疗可显著改善症状。提示哮喘症状与胃食管反流密切相关。

Respiratory symptoms and Gestroesophageal reflux are very popular disease in pediatrian patient.this article study the relationship between respiratory symptoms and gastroesophageal reflux（GER） in patient with GER disease（GERD）.Method： Fifty one patients suspected GERD with respiratory symptom as examined group while respiratory symptom patient as control group. Two group＇s clinical items as 24 hour p H monitoring eats observed.Result： The observed clinical items between GERD with respiratory symptom group and only respiratory symptom group have statistical difference. Conclution： GER symptom of GERD with respiratory symptom group is more serious than only respiratory symptom group patients. The anti-reflux treatment had good effect in these patient of GERD with respiratory symptom.