有呼吸道症状儿童食管近端ph值测定

A Staiano, P Basile, D Simeone, A Stanco, A Tozzi, M C Caria
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引用次数: 0

摘要

对26名出现呕吐和/或呼吸道症状的儿童(平均年龄16.3个月)和28名出现呕吐和/或反流的儿童(平均年龄10.5个月)进行了双点24小时食管pH记录。39例患儿有胃食管反流,且不论呼吸道症状,所有患儿远端食管酸暴露时间明显长于近端(p < 0.01)。此外,近端pH电极的数据在有呼吸道症状和没有呼吸道症状的儿童之间没有显著差异。总之,24小时ph测定所确定的反流模式的单一特征不能解释有记录的胃食管反流儿童的呼吸道症状。
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Proximal oesophageal pH-metry in children with respiratory symptoms.

Twenty-six children (mean age: 16.3 months) with vomiting and/or respiratory symptoms and 28 children (mean age 10.5 months) with vomiting and/or regurgitation underwent dual-site 24-hour oesophageal pH recording. Thirty-nine children had gastro-oesophageal reflux and in all of them, irrespective of respiratory symptoms, distal oesophageal acid exposure was significantly (p < 0.01) longer than proximal exposure. Furthermore, data from the proximal pH electrode were not significantly different between children with and without respiratory symptoms for any of the variables studied. In conclusion, no single features of reflux pattern, as determined by 24-hours pH-metry, account for respiratory symptoms in children with documented gastro-oesophageal reflux.

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