24小时口咽pH监测诊断儿童咽喉反流价值研究

发布时间：2018-05-27 07:30

本文选题：h口咽pH监测 + 咽喉反流　；参考：《中国实用儿科杂志》2017年03期

【摘要】：目的探讨24 h口咽p H监测在呼吸道症状患儿诊断咽喉反流中的应用。方法采用美国DX-p H检测系统对2015年10月至2016年2月深圳市儿童医院收治的76例有呼吸道症状疑似咽喉反流患儿进行24 h口咽p H监测并进行临床观察,观察内容包括检查完成情况、依照RYAN指数诊断的阳性率及阳性患儿临床特点。结果 76例患儿均完成检测;其中阳性30例(阳性率39.5%),较低年龄患儿咽喉反流比例略高于较高年龄者;部分患儿抗酸治疗8周后复查转阴。咽喉反流阳性患儿临床表现为咳嗽、喘息、打鼾、声嘶、清咽、呛奶、吐泡沫、喉鸣、气促、面色发绀、鼻塞等,初步诊断多为支气管肺炎、鼻炎及鼻窦炎、喉软化、咽炎、喘息性支气管炎、腺样体肥大等呼吸道疾病。结论呼吸道疾病患儿可存在咽喉反流,咽喉反流临床症状无特异性,易误诊漏诊;24 h口咽p H监测操作简便,适用于各年龄段患儿,可作为可疑咽喉反流患儿的检查手段。
[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.
【作者单位】：深圳市儿童医院呼吸科;
【分类号】：R725.7

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