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目的探讨由胃酸返流引起咳嗽的临床特点及质子泵抑制剂(PPI)治疗的效果。方法回顾性分析31例由于胃酸返流引起咳嗽患者的临床表现及PPI的治疗效果。结果31例患者PPI治疗前曾误诊为变异型哮喘、慢性咽炎、呼吸道感染、支气管炎等,专科治疗无效,而PPI治疗效果较好。结论对临床上因咳嗽伴返流或烧心就诊于各有关专科患者经相应的治疗无效或疗效欠佳时,应考虑存在胃食管返流病的可能,应及时行胃镜检查和PPI治疗。
Objective To investigate the clinical characteristics of cough caused by gastric acid reflux and the effect of proton pump inhibitor (PPI) treatment. Methods Retrospective analysis of 31 cases of patients with cough due to acid reflux caused by clinical manifestations and PPI treatment. Results The PPI was misdiagnosed as variant asthma, chronic pharyngitis, respiratory tract infection and bronchitis in 31 patients before PPI treatment. The specialist treatment was ineffective and the PPI treatment was better. Conclusion Clinic patients with cough associated with reflux or heartburn in the relevant specialist patients with corresponding treatment ineffective or poor efficacy should be considered the possibility of gastroesophageal reflux disease should be timely endoscopy and PPI treatment.