消化内科门诊胃食管反流病的临床分析

Clinical Analysis of Gastroesophageal Reflux Disease in Outpatient Department of Digestive Medicine

目的观察消化内科门诊胃食管反流病的临床特征、治疗效果。方法根据疾病类型的不同分组,反流性食管炎患者给予法莫替丁治疗,非糜烂性反流病患者给予奥美拉唑治疗。结果观察组年龄(54.5±7.0)岁、BMI(25.6±1.0)kg/cm2,与对照组差异显著(P < 0.05)。观察组患者胃灼烧症状存在率86.96%、反流反酸症状存在率100%、吞咽困难症状存在率32.61%、治疗有效率97.83%、皮疹发生率2.17%、恶心呕吐发生率2.17%,与对照组无显著差异(P > 0.05)。结论胃食管反流病患者症状类似,但不同类型疾病患者,年龄及BMI 存在差异。根据疾病类型,给予药物治疗,有效率及安全性均较高。

Objective To observe the clinical characteristics and therapeutic effect of gastroesophageal reflux disease (GERD) in outpatient department of digestive medicine. Methods According to the different types of disease,patients with reflux esophagitis were treated with famotidine, while patients with non-erosive reflux disease were treated with omeprazole. Results The age of the observation group (54.5±7.0) and BMI (25.6±1.0) kg / cm^2 were significantly different from control group (P<0.05). The incidence of gastric burning, reflux and acid reflux, dysphagia, rash, nausea and vomiting were 86.96%, 100%, 32.61%, 97.83%, 2.17% and 2.17% in the observation group, respectively. There was no significant difference between the two groups (P>0.05). Conclusion The symptoms of gastroesophageal reflux disease are similar, but there are differences in age and BMI of patients with different types of diseases. According to the type of disease, drug treatment is effective and safe.