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目的:对52例有胃食管反流症状的患者进行食管测压及24小时pH监测,运用统计学方法分析测压和pH结果,研究其相关性。方法:应用多导胃肠功能测定仪及便携式pH监测记录仪,对52例有胃食管反流症状的患者进行食管测压及24小时pH监测。结果:应用多元回归分析发现,pH的百分比和腹段下食管括约肌(LES)的长度、LES静息压及远端食管的蠕动压明显相关。依据测压及pH结果,使用t检验方法,结果提示食管蠕动压不仅与pH<4的百分化相关,也与酸反流大于5分钟的时间、最长反流时间有关(P<001)。结论:腹段LES的长度及食管下段的蠕动收缩是重要的抗反流屏障。食管酸暴露时间延长减弱食管体部酸清除能力
OBJECTIVE: To evaluate esophageal manometry and 24-hour pH monitoring in 52 patients with gastroesophageal reflux syndrome. The relationship between manometry and pH was analyzed by statistical methods. Methods: Esophageal manometry and 24-hour pH monitoring were performed in 52 patients with gastroesophageal reflux symptoms using a multi-function gastrointestinal function monitor and a portable pH monitor recorder. Results: Using multivariate regression analysis, it was found that the percentage of pH was significantly correlated with the length of esophageal sphincter (LES), resting resting pressure of LES and distal esophageal peristalsis. According to the manometry and pH results, using the t-test, the results suggest that esophageal peristalsis pressure is not only related to the percentage of pH <4, but also to the time of acid reflux greater than 5 minutes and the longest reflux time (P <001 ). Conclusion: The length of the LES and the peristalsis contraction of the lower esophagus are important anti-reflux barriers. Esophageal acid exposure to extend the weakening of the esophagus body acid scavenging capacity