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抗返流治疗对胃—食管返流相关性哮喘患者肺功能的影响
THE EFFECT OF ANTI-REFLUX TREATMENT ON LUNG FUNCTION IN PATIENTS WITH GASTROESOPHAGEAL REFLUX CORRELATION ASTHMA
【摘要】 目的:观察抗返流治疗对胃—食管返流(GER) 相关性哮喘患者肺功能的影响。方法:25 例GER 相关性哮喘患者,在常规哮喘治疗基础上均给予抗返流治疗8 周,并于治疗前后作肺功能测定。结果:抗返流治疗后,肺功能比治疗前均有明显改善,其中FEV1 和PEFR 的改善最明显;12 例临床控制(48-0 %) ,13 例好转(52-0 % );21例需长期服用支气管扩张剂的患者,13 例完全停用(61-9 %) ,8 例用量减少一半以上(38-1 %) ;13 例需长期吸入糖皮质激素的患者,8 例停药(61-5 %) ,5 例减量(38-5 % )。结论:抗返流治疗GER 相关性哮喘,无论GER 先于哮喘或哮喘先于GER,均能明显改善患者的肺功能。
【Abstract】 Objective:To observe the effect of anti-reflux treatment on lung function in patients with gastroesophageal reflux (GER) correlation asthma.Methods:The 25 cases patients with GER correlation asthma on routine base,treatment for antireflux for 8 weeks,the lung function were measured at treatment before 1 week and after treatment 2,4,8 weeks and after the end-treatment 2 weeks.Results:After treatment 12 cases were controlled (48.0%),13 cases were better than before(52.0%).The 21 cases must use bronchodilator for long time,13 cases didn’t use it at all (61.9%),the dose of 8 cases was decreased half than before (38.1%).The 13 cases need inhale corticosteroid for long time,8 cases didn’t use it (61.5%) and 5 cases used less (38.5%).Conclusion:Whether the GER forward asthma or asthma forward GER,anti-reflux treatment was an effective method to treat patients with GER correlation asthma.
【Key words】 bronchial asthma; gastroesophageal reflux; treatment; lung function;
- 【文献出处】 医师进修杂志 ,JOURNAL OF POSTGRADUATES OF MEDICINE , 编辑部邮箱 ,1999年11期
- 【分类号】R562.25
- 【被引频次】4
- 【下载频次】26