發(fā)布時(shí)間：2018-05-27 07:30

  本文選題：h口咽pH監(jiān)測 + 咽喉反流��； 參考：《中國實(shí)用兒科雜志》2017年03期

【摘要】：目的探討24 h口咽p H監(jiān)測在呼吸道癥狀患兒診斷咽喉反流中的應(yīng)用。方法采用美國DX-p H檢測系統(tǒng)對2015年10月至2016年2月深圳市兒童醫(yī)院收治的76例有呼吸道癥狀疑似咽喉反流患兒進(jìn)行24 h口咽p H監(jiān)測并進(jìn)行臨床觀察,觀察內(nèi)容包括檢查完成情況、依照RYAN指數(shù)診斷的陽性率及陽性患兒臨床特點(diǎn)。結(jié)果 76例患兒均完成檢測;其中陽性30例(陽性率39.5%),較低年齡患兒咽喉反流比例略高于較高年齡者;部分患兒抗酸治療8周后復(fù)查轉(zhuǎn)陰。咽喉反流陽性患兒臨床表現(xiàn)為咳嗽、喘息、打鼾、聲嘶、清咽、嗆奶、吐泡沫、喉鳴、氣促、面色發(fā)紺、鼻塞等,初步診斷多為支氣管肺炎、鼻炎及鼻竇炎、喉軟化、咽炎、喘息性支氣管炎、腺樣體肥大等呼吸道疾病。結(jié)論呼吸道疾病患兒可存在咽喉反流,咽喉反流臨床癥狀無特異性,易誤診漏診;24 h口咽p H監(jiān)測操作簡便,適用于各年齡段患兒,可作為可疑咽喉反流患兒的檢查手段。
[Abstract]:Objective to investigate the application of 24 h oropharyngeal pH monitoring in the diagnosis of pharynx and laryngeal reflux in children with respiratory symptoms. Methods from October 2015 to February 2016, 76 children with suspected pharyngeal and laryngeal reflux were monitored with DX-p H detection system for 24 h, and the clinical observation was carried out. The observation included the completion of the examination, the positive rate diagnosed according to the RYAN index and the clinical characteristics of the children. Results all 76 children completed the test, 30 of them were positive (positive rate was 39.5%), the proportion of pharynx and larynx reflux in younger children was slightly higher than that in higher age group, and some children turned negative after 8 weeks of anti-acid therapy. The clinical manifestations of the children with positive throat reflux were cough, wheezing, snoring, hoarseness, clear pharynx, choking milk, puffing, choking, froth, larynx, shortness of breath, cyanosis, nasal obstruction, etc. The primary diagnosis was bronchopneumonia, rhinitis and sinusitis, laryngomalacia, pharyngitis, etc. Asthmatic bronchitis, adenoid hypertrophy and other respiratory diseases. Conclusion there is throat reflux in children with respiratory diseases, and the clinical symptoms of pharynx reflux are not specific. It is easy to monitor pharynx pH for 24 hours of misdiagnosis and missed diagnosis. It is suitable for children of all ages and can be used as an examination method for suspected throat reflux.
【作者單位】： 深圳市兒童醫(yī)院呼吸科;
【分類號】：R725.7

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