胃食管反流性咳嗽的内科治疗进展  

Advances in internal treatment of gastroesophageal reflux-related cough

作　　者：肖英莲[1] Xiao Yinglian(Department of Gastroenterology,First affiliated hospital of Sun Yat-sen university,Guangzhou 510080,China)

机构地区：[1]中山大学附属第一医院消化内科,广州510080

出　　处：《中华结核和呼吸杂志》2023年第10期958-961,共4页Chinese Journal of Tuberculosis and Respiratory Diseases

摘　　要：胃食管反流性咳嗽(GERC)是胃十二指肠内容物反流至食管或口腔导致以咳嗽为突出表现的临床综合征。GERC缺乏诊断的金标准,在临床上难以准确筛查出对抗反流治疗敏感的患者,这使得GERC的总体治疗效果不佳。抑酸药物治疗是GERC的一线治疗方法,其余治疗还包括调整生活方式、促动力药、神经调节剂、上食管括约肌外部加压带和内镜下抗反流手术。Gastroesophageal reflux-related cough(GERC)is a clinical syndrome characterized by cough,caused by reflux of gastroduodenal contents into esophagus or oral cavity.The overall treatment effectiveness of GERC is poor because it is difficult to identify patients who are truly responsive to anti-reflux treatment due to the lack of gold standard diagnostic criteria for GERC.Acid-suppressive therapy is the first-line treatment for GERC,and other treatments include lifestyle modification,prokinetics,neuromodulators,upper esophageal sphincter reflux band and endoscopic anti-reflux surgery.

关 键 词：胃食管反流性咳嗽 神经调节剂 临床综合征 促动力药 抑酸药物 内科治疗 抗反流手术 内镜下 

分 类 号：R57[医药卫生—消化系统]