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目的探讨胃食管反流病(GERD)的食管外症状的临床特点及质子泵抑制剂(PPI)治疗的效果。方法回顾性分析69例GERD食管外症状患者的临床表现及PPI的治疗效果。结果GERD食管外症状以心绞痛、慢性咽炎、慢性气管支气管炎及支气管哮喘较为常见,临床误诊率高,PPI治疗效果较好。结论对临床上以食管外症状就诊于各有关专科患者经相应的治疗无效或疗效欠佳时,应考虑存在GERD的可能,应及时行胃镜检查和PPI治疗。
Objective To investigate the clinical characteristics of esophageal reflux disease (GERD) and the effect of proton pump inhibitor (PPI) treatment. Methods Retrospective analysis of 69 cases of GERD esophageal symptoms in patients with clinical manifestations and PPI treatment. Results The extra-esophageal symptoms of GERD were common angina pectoris, chronic pharyngitis, chronic bronchitis and bronchial asthma. The clinical misdiagnosis rate was high, and PPI treatment was better. Conclusions Clinical treatment of esophageal symptoms in the relevant specialist patients with corresponding treatment ineffective or poor efficacy, the possibility of GERD should be considered, gastroscopy should be timely and PPI treatment.