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目的探讨24 h口咽p H监测在呼吸道症状患儿诊断咽喉反流中的应用。方法采用美国DX-p H检测系统对2015年10月至2016年2月深圳市儿童医院收治的76例有呼吸道症状疑似咽喉反流患儿进行24 h口咽p H监测并进行临床观察,观察内容包括检查完成情况、依照RYAN指数诊断的阳性率及阳性患儿临床特点。结果 76例患儿均完成检测;其中阳性30例(阳性率39.5%),较低年龄患儿咽喉反流比例略高于较高年龄者;部分患儿抗酸治疗8周后复查转阴。咽喉反流阳性患儿临床表现为咳嗽、喘息、打鼾、声嘶、清咽、呛奶、吐泡沫、喉鸣、气促、面色发绀、鼻塞等,初步诊断多为支气管肺炎、鼻炎及鼻窦炎、喉软化、咽炎、喘息性支气管炎、腺样体肥大等呼吸道疾病。结论呼吸道疾病患儿可存在咽喉反流,咽喉反流临床症状无特异性,易误诊漏诊;24 h口咽p H监测操作简便,适用于各年龄段患儿,可作为可疑咽喉反流患儿的检查手段。
Objective To investigate the application of 24 h oropharyngeal p H monitoring in the diagnosis of children with respiratory symptoms. Methods Totally 76 cases of children with suspected respiratory and respiratory symptoms were admitted to Shenzhen Children’s Hospital from October 2015 to February 2016 for 24 h oropharyngeal p H monitoring using the American DX-p H detection system. The clinical observation and observation Including the completion of the inspection, in accordance with the positive rate of RYAN index diagnosis and positive clinical features of children. Results 76 cases of children were tested; 30 cases were positive (positive rate was 39.5%), the rate of throat reflux was slightly higher in children younger than the younger age group; some children were negative after 8 weeks of antacid therapy. The clinical manifestations of children with positive throat reflux cough, wheezing, snoring, hoarseness, Qingyan, choking milk, vomiting bubble, throat, shortness of breath, cyanosis, nasal congestion, etc., the initial diagnosis of bronchial pneumonia, rhinitis and sinusitis , Throat softening, pharyngitis, asthmatic bronchitis, adenoid hypertrophy and other respiratory diseases. Conclusions Children with respiratory diseases may have reflux of the throat. The clinical symptoms of the throat reflux are nonspecific and easily misdiagnosed and missed. The detection of oropharyngeal p H in 24 h is simple and convenient for children of all ages and can be used as suspicious throat reflux children The means of inspection.