胃食管反流性咳嗽50例分析  

Analysis of 50 cases involving cough caused by gastroesophageal reflu

作　　者：程卫军[1] 王苒[1] 

机构地区：[1]安徽中医学院第一附属医院

出　　处：《临床医药实践》2009年第2期106-107,共2页Proceeding of Clinical Medicine

摘　　要：目的：探讨胃食管反流性咳嗽的治疗方法。方法：对2004年1月-2007年1月收治的50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：50例患者中，31例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、质子泵抑制剂或H2受体拮抗剂及促胃动力药等治疗，23例患者口服药物7～14d时症状缓解，21d左右症状消失；17例患者口服药物15～21d时症状缓解，4周时症状消失；10例症状较重者服药4周时症状明显减轻，总疗程≥2个月。结论：患者通过改变饮食及睡眠习惯，应用抑酸剂及抗反流药物，积极治疗消化性溃疡等原发病，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. Methods： The clinical datas of 50 patients with cough caused by gastroesophageal reflux were retrospectively analyzed,who were diagnosed and treated in our hospital from January of 2004 to January of 2007. Then the clinical futures ,treatment methods and curative effects were summed up. Results：Among the 50 patients, 31 cases 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 23 cases improved with in 79 14 d,disappeared after 21 d, the symptoms of 17 cases improved within 15 - 21 d, disappeared after 4 weeks, 10 cases with serious symptoms alleviated after taking medicine for 4 weeks,and the whole treatment time was ≥2 months. Conclusion： By changing dietary and sleeping habit, taking anti-reflux and anti-acid medicine,and actively treating the prmiary disease such aspeptic ulcer,cough caused by gastroesophageal reflux can get a good efficiency.

关 键 词：胃食管反流 慢性咳嗽 治疗 

分 类 号：R573[医药卫生—消化系统]