关于胃食管反流性咳嗽诊断方法与标准的探讨  

Investigation of diagnostic methods and criteria for gastroesophageal reflux-related cough

作　　者：张利 阿丽米热·艾尔肯 邱忠民[1] Zhang Li;Alimire Aierken;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》2023年第10期954-957,共4页Chinese Journal of Tuberculosis and Respiratory Diseases

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

摘　　要：胃食管反流性咳嗽涉及多学科,无法单纯依赖典型反流相关症状识别。现有诊断方法和标准基本参照胃食管反流病,但又有不同之处。食管反流监测能为胃食管反流性咳嗽的诊断提供客观依据,是咳嗽诊治指南推荐的首选辅助检查。食管酸暴露时间和症状相关概率已成为现有的诊断标准,食管动力评估也有一定的辅助诊断价值。结合现有研究,本文探讨了如何改进胃食管反流性咳嗽的诊断方法与标准,并对今后需要解决的问题进行了讨论。Gastroesophageal reflux-related cough is a multidisciplinary disease that cannot be diagnosed solely based on typical reflux-related symptoms.Its current diagnostic methods and criteria are largely derived from those used for gastroesophageal reflux disease,with slight differences.Esophageal reflux monitoring can provide objective evidence for the diagnosis of gastroesophageal reflux-related cough and is therefore the first-choice of laboratory tests recommended by the guidelines for cough management.Acid exposure time and syndrome association probability have been accepted as the diagnostic criteria,while esophageal motility assessment also has some certain auxiliary diagnostic value.Based on the existing evidence,we have reviewed how to improve the diagnostic methods and criteria for gastroesophageal reflux-related cough,as well as the issues that need to be addressed in the future.

关 键 词：胃食管反流性咳嗽 胃食管反流病 诊断标准 食管动力 食管反流 诊断方法 辅助诊断价值 食管酸暴露 

分 类 号：R57[医药卫生—消化系统]