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为探讨小儿哮喘与胃食管返流(GER)的关系,采用便携式pH自动记录仪对41例反复发作的哮喘患儿进行了24小时食管pH值监测,以20例健康儿作为对照组。结果:哮喘组胃食管返流发生率为53.7%(22/41),显著高于对照组(0/20);哮喘组Boix-Ochoa综合评分、酸性返流指数、返流≥5分钟次数均显著大于对照组,而pH值<4的次数、最长返流持续时间则与对照组差异无显著意义(P>0.05)。提示:反复发作的哮喘患儿胃食管返流发生率较高,哮喘与胃食管返流之间有密切的关系。
In order to explore the relationship between asthma and gastroesophageal reflux (GER) in children, 41 cases of recurrent asthmatic children were monitored for 24-hour esophageal pH value using a portable pH automatic logger. Twenty healthy children were used as control group. Results: The incidence of gastroesophageal reflux in asthma group was 53.7% (22/41), significantly higher than that in control group (0/20). The Boix-Ochoa comprehensive score, acid reflux index, reflux ≥5 minutes (P> 0.05). However, the duration of the longest regurgitation was not significantly different from that of the control group (P> 0.05). Tip: recurrent asthma in children with higher incidence of gastroesophageal reflux, asthma and gastroesophageal reflux is closely related.