摘要
目的探讨难治性胃食管反流病与胃十二指肠形态的关系。方法将206例胃食管反流病患者分为难治性胃食管反流病(RGERD)和非RGERD,比较2组的胃十二指肠形态学异常情况;将RGERD按上消化道形态有无异常分为阳性组(异常)和阴性组(无异常),全部患者采取常规治疗,并予以不同的体位变化治疗,比较治疗后2组患者胃食管反流病量表评分。结果 RGERD和非RGERD患者间胃十二指肠形态有明显差异(P<0.05);治疗后阳性组患者GERDQ评分明显低于阴性组(P<0.05),阳性组治疗后评分明显低于治疗前(P<0.05)。结论 RGERD患者胃十二指肠形态异常率明显增高;体位变化治疗对胃十二指肠形态异常的RGERD患者有效。
Objectives To investigate the relationships between refractory gastroesophageal reflux disease and gastroduodenal morphology.Methods 206 cases of Patients with gastroesophageal reflux disease（GERD） were divided into refractory GERD and non-refractory GERD.This two groups were compared according to gastroduodenal morphological abnormalities;according to the upper gastrointestinal tract morphological abnormalities,the patients with RGERD were divided into positive group（abnormal） and negative group（normal）.After all patients took conventional therapy with different postural changes,compare gastroesophageal reflux disease questionnaire（GREDQ） scales of the two groups.Results There are obvious difference on Gastroduodenal morphology between RGERD and non-refractory GERD patients（P〈0.05）;After treatment,the GERDQ scales of positive group was significantly lower than the negative group（P〈0.05） and the GREDQ scales of positive group was obviously lower than those before treatment（P〈0.05）.Conclusion The gastroduodenal morphological abnormality in RGERD patients was significantly higher;postural changes therapy for RGERD patients with gastroduodenal morphological abnormalities is effective.
作者
王岚
刘鹏鸿
苏爱平
Wang Lan Liu Pe nghong Su A iping.(The Fenyang Hospital of Shanxi Province, Fenyang, Shanxi 03220)
出处
《基层医学论坛》
2017年第26期3488-3490,共3页
The Medical Forum
关键词
难治性胃食管反流病
胃十二指肠形态异常
相关性
体位变化治疗
Refractory gastroesophageal reflux disease
Gastroduodenal morphological abnormalities
Correlation Postural changes treatment
