难治性胃食管反流病患者24h食管pH-阻抗监测及高分辨食管压力测定结果分析及护理  

Analysis and nursing of 24 h esophageal pH-impedance and high resolution manometry for the patients with refractory gastroesophageal reflux disease

作　　者：李牧虹[1] 冷一梅[1] 郭子皓[1] 张川[1] Li Muhong Leng Yimei Guo Zihao Zhang Chuan(Department of Gastroenterology, Beijing Tongren Hospital, Capital Medical University, Beijing 100730, China)

机构地区：[1]首都医科大学附属北京同仁医院消化内科,100730

出　　处：《中华现代护理杂志》2017年第20期2645-2647,共3页Chinese Journal of Modern Nursing

基　　金：北京市医院管理局临床医学发展专项--扬帆计划重点医学专业（ZYLX201612）

摘　　要：目的 分析难治性胃食管反流病患者24 h食管pH-阻抗监测及高分辨食管压力测定结果,为临床诊断、治疗和护理提供依据.方法 对具有难治性胃食管反流症状的患者进行24 h食管pH-阻抗监测、高分辨食管压力测定及护理.结果 118例患者中有115例成功完成该检查,成功率为97.5%,其中24 h食管pH-阻抗监测异常者为90例（78.3%）.食管高分辨测压提示食管动力异常者83例（72.2%）.结论 大多数难治性胃食管反流病患者存在异常反流及食管动力异常.熟练的操作技术与细致全面的护理方案配合是检查顺利完成的重要保障.Objective To analyze 24 h esophageal pH-impedance and high-resolution manometry for the patients with refractory gastroesophageal reflux disease, and provide evidence for the clinical diagnosis, treatment and nursing of these patients.Methods 24 h esophageal pH-impedance and high resolution manometry were measured and corresponding nursing measures were applied for the patients with refractory gastroesophageal reflux symptoms.Results A total of 115 in 118 patients successfully completed the examination with a success rate of 97.4%, and 90 （78.3%） of which showed abnormal in 24 h esophageal pH-impedance examination. High-resolution manometry showed that 83 patients （72.2%） had esophageal motility disorder.Conclusions Most patients with refractory gastroesophageal reflux disease have abnormal reflux and esophageal motility disorder. Skilled operative technique, detailed and comprehensive nursing are the guarantee to accomplish the examination.

关 键 词：护理 难治性胃食管反流病 24h食管pH-阻抗监测 高分辨食管压力测定 

分 类 号：R473.5[医药卫生—护理学]