胆汁反流与胃内pH值的关系  

THE RELATIONSHIP BETWEEN BILE REFLUX AND GASTRIC pH

作　　者：李兆申[1] 朱爱勇[1] 许国铭[1] 邹多武[1] 尹宁[1] 

机构地区：[1]第二军医大学长海医院

出　　处：《解放军医学杂志》2001年第10期708-709,共2页Medical Journal of Chinese People's Liberation Army

基　　金：上海市卫生系统百人计划基金 (编号 98BR0 2 6 );上海市青年科技启明星计划基金 (编号 99QB14 0 45 )资助课题

摘　　要：研究胆汁反流性胃炎患者胃内 pH值与胆汁反流的关系。胆汁反流性胃炎患者 2 2例 ,应用便携式pH及胆汁监测仪同步监测胃内 2 4h的 pH值及胆红素吸收值。结果发现 ,胆汁反流时 ,胃内pH值与胆红素吸收值无相关性 (r=- 0 0 6 ,P >0 0 5 ) ;胃内pH值增高时 ,胆红素吸收值与 pH值亦无相关性 (r =0 17,P >0 0 5 )。可见 ,胃内 pH值和胆汁反流无关。因此 ,根据胃内 2 4h的pH值监测判断有无胆汁反流是不科学的 。To study the relationship between gastric pH and bilirubin absorption value in bile reflux gastritis, we simultaneously assessed the changes in gastric pH and bilirubin absorption value during 24h in 22 patients with bile reflux gastritis using ambulatory 24h pH meter and bilirubin monitoring technique. There was no relationship between gastric pH and bilirubin absorption value,either with occurrence of bile reflux or elevation of gastric pH value. It is concluded that 24h intragastric bilirubin monitoring can not be replaced by pH monitoring, and monitoring bilirubin absorption as an index of bile reflux is very important in the diagnosis of bile reflux gastritis.

关 键 词：胆汁反流性胃炎 氢离子浓度 PH值 胆汁吸收值 

分 类 号：R573.3[医药卫生—消化系统] R575.63[医药卫生—内科学]