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目的 探讨儿童慢性咳嗽与胃食管反流的关系。方法 对1999年7月至2 0 0 1年3月广州市儿童医院收治的11例慢性咳嗽患儿,进行2 4h食管pH监测,对监测结果及其临床资料进行分析。结果 11例慢性咳嗽患儿经2 4h食管pH检测,有8例阳性,阳性率为72 . 7%。结论 儿童慢性咳嗽常合并胃食管反流,后者又往往加重呼吸道症状。建议在治疗儿童慢性咳嗽时,常规抗炎、祛痰、平喘处理效果如不理想,可加用抗反流药物以便提高疗效。
Objective To investigate the relationship between chronic cough and gastroesophageal reflux in children. Methods 11 cases of chronic cough children admitted to Guangzhou Children’s Hospital from July 1999 to March 2001 were monitored for esophageal pH at 24 hours. The monitoring results and clinical data were analyzed. Results 11 cases of chronic cough in children by 2 4 h esophageal pH test, 8 cases were positive, the positive rate was 72.7%. Conclusion Children with chronic cough often have gastroesophageal reflux, which often aggravates respiratory symptoms. Proposed treatment of chronic cough in children, the conventional anti-inflammatory, expectorant, asthma treatment results are not satisfactory, anti-reflux drugs can be added in order to improve the curative effect.