胃食管反流性咳嗽的诊治:共识与争议  

Diagnosis and treatment of gastroesophageal reflux-related cough:consensus and controversies

作　　者：陈强[1] 张利 邱忠民[1] Chen Qiang;Zhang Li;Qiu Zhongmin(Department of Pulmonary and Critical Care Medicine,Tongji Hospital,School of Medicine,Tongji University,Shanghai 200065,China)

机构地区：[1]同济大学附属同济医院呼吸与危重症医学科,上海200065

出　　处：《中华结核和呼吸杂志》2022年第1期6-9,共4页Chinese Journal of Tuberculosis and Respiratory Diseases

基　　金：上海市科委课题(20Y11902500,21140903400)。

摘　　要：胃食管反流性咳嗽伴随的典型反流症状具有诊断提示性,问卷调查为有价值的筛查手段,反流监测能提供异常反流的客观诊断依据,抗反流治疗有效为确诊条件。抑酸药物仍为一线治疗。神经调节剂治疗难治性胃食管反流性咳嗽的益处尚需进一步明确。抗反流手术对部分有指征的患者可能为有前景的根治疗法。Typical reflux symptoms associated with gastroesophageal reflux-related cough have diagnostic implications.Questionnaires including these symptoms can be used as valuable screening tools for potential candidates.When reflux monitoring provides the objective evidence of abnormal reflux,the favorable response to anti-reflux therapy is essential for the diagnostic confirmation,in which anti-acid drugs are still the first-line choice.The benefits of neuromodulators in the treatment of refractory gastroesophageal reflux-related cough need to be further clarified.However,anti-reflux surgery may be a promising curative therapy for some patients with definitive surgical indications.

关 键 词：胃食管反流性咳嗽 神经调节剂 客观诊断 反流症状 抑酸药物 抗反流手术 抗反流治疗 一线治疗 

分 类 号：R571[医药卫生—消化系统]