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目的探讨胃食管反流病鼻部症状的表现及食管微量射频治疗的疗效。方法回顾性分析2006年4月至2007年7月,就诊于解放军第二炮兵总医院胃食管反流病科并行食管微量射频治疗的370例胃食管反流病(GERD)患者临床资料,对治疗前后鼻部症状进行统计分析。结果 370例GERD患者中,有120例(32.4%)伴有鼻部症状,包括流清涕、打喷嚏、鼻塞、打鼾、鼻滴后流及其他症状;治疗后,不同鼻部症状评分均低于治疗前,差异均有统计学意义(P<0.01);70例(59.9%)治疗有效,不同鼻部症状显效率19.6%~29.2%,缓解率27.8%~50.0%,无效率25.0%~52.2%。结论 GERD可以引起鼻部症状,食管微量射频治疗疗效确切。
Objective To investigate the nasal symptoms of gastroesophageal reflux disease and the therapeutic effect of esophageal micro-radiofrequency ablation. Methods The clinical data of 370 patients with gastroesophageal reflux disease (GERD) who underwent concurrent esophageal micro-radiofrequency ablation in the department of gastroesophageal reflux disease of the Second Artillery Corps General Hospital of PLA from April 2006 to July 2007 were retrospectively analyzed. Nasal symptoms before and after statistical analysis. Results Of the 370 GERD patients, 120 (32.4%) had nasal symptoms including runny nose, sneezing, stuffy nose, snoring, nasal drops and other symptoms; after treatment, the scores of different nasal symptoms were low Before treatment, the difference was statistically significant (P <0.01); 70 cases (59.9%) were effective, the effective rate of different nasal symptoms was 19.6% ~ 29.2%, the remission rate was 27.8% ~ 50.0%, the inefficiency rate was 25.0% 52.2%. Conclusions GERD can cause nasal symptoms and the efficacy of esophageal micro-radiofrequency ablation is definite.