Parrilla P, Martinez de Haro L F, Ortiz A, Morales G, Cifuentes J, Videla D, Garay V
Dept. of Surgery, Virgen de la Arrixaca University Hospital, El Palmar, Murcia, Spain.
Scand J Gastroenterol. 1992 Nov;27(11):929-32. doi: 10.3109/00365529209000165.
The data provided by 24-h pH monitoring in 40 patients with gastroesophageal reflux, divided in three groups in accordance with esophageal motor pattern, were compared. Patients with hypomotility had significantly greater reflux rates than those with normal motility or hypermotility, if we consider both total time with pH < 4 and time with pH < 4 corresponding to episodes of > 5 min duration. We conclude that when 24-h pH monitoring shows very high reflux rates, basically corresponding to episodes lasting > 5 min, we should suspect the presence of defective esophageal peristalsis, which must be confirmed with a manometric study.
对40例胃食管反流患者进行24小时pH监测所提供的数据进行了比较，这些患者根据食管运动模式分为三组。如果我们同时考虑pH值<4的总时间以及pH值<4且持续时间>5分钟的发作时间，运动功能低下的患者反流率明显高于运动功能正常或亢进的患者。我们得出结论，当24小时pH监测显示反流率非常高，基本对应于持续时间>5分钟的发作时，我们应怀疑存在食管蠕动功能缺陷，这必须通过测压研究来证实。
