摘要
目的探讨基层医院对胃食管反流性咳嗽的治疗方法。方法 对我院2005年2月-2006年2月收治的20例胃食管反流性咳嗽患者的临床表现、治疗方法及治疗效果进行回顾性分析。结果 20例患者中，10例（50％）咳嗽伴反酸及胸骨后烧灼感。通过对患者进行宣教，给予抑酸剂、质子泵抑制或H2受体拮抗荆及促胃动力药等治疗，20例患者中6例口服药物7～14d症状缓解，21d左右症状消失；10例口服药物15～21d症状缓解，4周时症状消失；2例症状较重者服药4周时症状明显减轻，总疗程≥2个月；另2例患者未随诊。结论 患者通过改变饮食及睡眠习惯，应用抑酸荆及抗反流药物，积极治疗消化性渍疡等原发病，胃食管反流性咳嗽可取得满意疗效。
Objective To investigate the treatment method of cough caused by gastroesophageal reflux in primary hospital. Methods The clinical datas of 20 patients with cough caused by gastroesophageal reflux were retrospectively analyzed, who were diagnosed and treated in our hospital from Feb. 2005 to Feb. 2006 ; then the clinical futures, treatment methods and curative effects were summed up. Results Among the 20 patients, 10 cases （50%） had cough, regurgitation and heartburn. After the education and treatment of anti - acid medicine, PPI or histamine receptor antagonist and gastro - kinetic agent, the symptoms of six cases improved within 7 - 14 d, disappeared after 21 d; the symptoms of 10 cases improved within 15 -21 d, disappeared after 4 weeks; two cases with serious symptoms alleviated after taking medicine for 4 weeks, and the whole treatment time was ≥2 months; the other two eases were not followed. Conclusion By changing dietary and sleeping habit, taking anti -reflux and anti -acid medicine, and actively treating the primary disease such as peptic ulcer, cough caused by gastroesophageal reflux can get a good efficiency.
出处
《中国全科医学》
CAS
CSCD
2006年第24期2066-2067,共2页
Chinese General Practice
关键词
胃食管反流
慢性咳嗽
基层医院
Gastroesophageal reflux
Chronic cough
Primary hospital
