摘要
目的:探讨胃食管反流性咳嗽的临床表现和诊疗方法。方法:对收治的46例胃食管反流性咳嗽患者的临床表现和治疗方法进行回顾性总结分析。结果:胃食管反流性咳嗽患者临床表现为慢性咳嗽;患者有明显的进食相关的咳嗽;部分患者伴有反酸、嗳气、胸骨后烧灼感等反流性食管炎症状。胸部X线检查提示肺纹理稍增粗10例;46例均进行肺通气功能检查,激发试验结果均呈阳性;胃镜检查35例均提示有不同程度的反流性食管炎镜下表现。全部患者予以抑酸剂及抗反流药物,抑制胃酸对消化道黏膜的刺激,缓解胸骨后烧灼感;合并有幽门螺杆菌感染的患者予加以杀菌治疗。治疗开始后1周咳嗽次数开始减少。结论:慢性咳嗽是胃食管反流性咳嗽的最常见的食管外症状之一,以白天咳嗽为主,经抗酸治疗临床有效。
Objective： To discuss the clinical manifestations and treatments of gastroesophageal reflux cough. Methods： Conduct retrospect analyzed on the clinical manifestations and treatments of the 46 patients with gastroesophageal reflux cough. Results： The clinical manifestations of patients with gastroesophageal reflux cough was mainly chronic cough that was related obviously with eating. Part of the patients will had the symptom of reflux esophagitis, including acid regurgitation, eructation and retrosternal burning sensation. Chest X-ray suggest the lung markings thickens in 10 cases; all 46 cases had been examined of lung ventilation and result of provocative test showed positive; 35 cases that taken gastroscopy test and showed manifestations of reflux esophagitis to various extents. All cases had been treated with antiacid and anti-reflux drugs to inhibit the stimulus from gastric acid to gastroesophageal mucous membrane and relieve the retrosternal burning sensation; and patients infected by helicobacter pylori had been gathered together to take sterilizing treatment. After one-week treatment, cough frequency began to decreases. Conclusion： Chronic cough is the commonest external esophageal symptom of gastroesophageal reflux cough, mainly coughing in day time. It is clinical effectiveness through anti-acid treatments.
出处
《中国当代医药》
2011年第29期33-34,共2页
China Modern Medicine
关键词
慢性咳嗽
胃食管反流
抗酸治疗
临床分析
Chronic cough
Gastroesophageal reflux
Anti-acid treatment
Clinical analysis
