慢性咽炎患者喉咽反流分析  

Laryngopharyngeal reflux in patients with chronic pharyngitis

作　　者：邬晓力[1] 郭永清[1] 

机构地区：[1]厦门大学附属中山医院耳鼻咽喉科,福建厦门361004

出　　处：《中国耳鼻咽喉头颈外科》2007年第1期63-65,共3页Chinese Archives of Otolaryngology-Head and Neck Surgery

摘　　要：目的探讨慢性咽炎与喉咽反流(laryngopha-ryngealreflux,LPR)发生的关系。方法对112例慢性咽炎患者行24小时双探头(食管和咽部)pH值监测,将检查出的62例LPR患者随机分为两组,实验组:应用抑制胃酸药和清热解毒的咽炎药治疗;对照组:单用清热解毒的咽炎药,对两组咽部症状缓解及病变改善情况进行统计学比较。结果慢性咽炎的体征多样化,实验组35例,有效率94.29%(33例),对照组27例,有效率77.78%(21例),P<0.05。结论LPR是导致慢性咽炎的重要病因,使用抑酸剂可明显改善喉咽反流,从而达到治疗慢性咽炎的目的。OBJECTIVE To investigate the relationship between laryngopharyngeal reflux （LPR） and chronic pharyngitis. METHODS A total of 112 patients with chronic pharyngitis were performed ambulatory 24-hour double-probe pH monitoring. The patients were divided into two groups. Group A was treated with antacids, while group B was treated with no antacids acted as control. RESULTS Laryngopharyngeal reflux were diagnosed in 62 （55.36%） of 112 cases with ambulatory 24-hour double-probe pH monitoring. The cure rates were 94. 29% （33/35） and 77.78 %（21/27） in group A and group B respectively（P〈0.05） . CONCLUSION Laryngopharyngeal reflux was an important cause of chronic pharyngitis. The symptoms can be relieved by antacids.

关 键 词：咽炎 喉咽反流 氢离子浓度 

分 类 号：R766.14[医药卫生—耳鼻咽喉科]