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机构地区:[1]西安医学院研究生工作部,陕西 西安 [2]西安医学院第一附属医院消化二病区,陕西 西安
出 处:《临床医学进展》2024年第11期1328-1336,共9页Advances in Clinical Medicine
摘 要:胃食管反流病(gastroesophageal reflux disease, GERD)是一种常见的慢性消化系统疾病,严重影响患者的生活质量。对于胃食管反流病的诊断和疗效判断,目前临床上以常规应用胃镜和24小时pH-阻抗的结果进行判断,但二者都为有创检查,患者耐受度较差,且在基层医院无法进行。胃食管反流病的主要治疗目的是缓解症状并提高患者的生活质量。因此,无创监测和有效的症状评估是至关重要的。基于此,本文总结目前胃食管反流病的无创监测指标以及诊断评分的研究进展,为临床医师在临床工作中诊断胃食管反流病和评估疗效提供参考。Gastroesophageal reflux disease (GERD) is a common chronic digestive disease, which can seriously affect the quality of life of patients. For the diagnosis and efficacy judgment of gastroesophageal reflux disease, gastroscopy and 24-hour pH-impedance results have been routinely used clinically, but both of them are invasive examinations with poor patient tolerance and cannot be performed in primary hospitals. The primary therapeutic goal of GERD is to relieve symptoms and restore a healthy quality of life;therefore, non-invasive monitoring and effective symptom evaluation are essential. Based on this, this paper summarizes the current research progress of non-invasive monitoring indicators and diagnostic scores of GERD, providing references for primary clinicians to diagnose GERD and evaluate therapeutic effects in clinical work.
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