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胃食管反流病患儿支气管肺和耳鼻喉症状的患病率:回顾性分析。

Prevalence of broncopulmonary and otorhinolaryngologic symptoms in children under investigation for gastroesophageal reflux disease: retrospective analysis.

机构信息

Faculdade de Medicina de Botucatu, Universidade Estadual Paulista Júlio de Mesquita Filho-(UNESP).

出版信息

Braz J Otorhinolaryngol. 2011 Jun;77(3):328-33. doi: 10.1590/s1808-86942011000300010.

Abstract

UNLABELLED

Gastroesophageal reflux disease (GERD) is a common ailment in children, adding up to the evidence that gastroesophageal reflux is an important cofactor in upper airway disorders, especially in the pediatric population. It is very common for it to impact the upper and lower airways. Our goal was to assess the presence of otorhinolaryngological symptoms in children aged between one and twelve years in whom gastroesophageal reflux is suspected.

MATERIALS AND METHODS

We assessed data from the charts of patients up to 12 years of age submitted to 24 hour pH measuring of one of two channels, placed at 2 and 5 cm from the LEE in order to confirm the diagnosis of Gastroesophageal Reflux Disease.

RESULTS

We studied 143 charts from children who underwent 24 hour pH measuring to investigate GERD; however, only 65 were included. The most prevalent symptoms in the children were bronchopulmonary, found in 89.2%, of sinonasal symptoms (72.3%), otologic (46.1%) and repetition UAW infections (44.6%). When we compared the presence of each group of symptoms of the results from the pH measuring, no significant differences were found between the symptoms and the pH measuring results.

CONCLUSION

GERD can manifest in different ways and otorhinolaryngological symptoms are frequent in children.

摘要

目的

评估怀疑胃食管反流病(GERD)的 1-12 岁儿童的耳鼻喉科症状。

方法

我们评估了 143 名接受 24 小时 pH 值测量的患者的图表,其中有两个通道,分别位于 LEE 2cm 和 5cm 处,以确认 GERD 的诊断。

结果

我们研究了 143 名接受 24 小时 pH 值测量以调查 GERD 的儿童的图表,但仅包括 65 名。儿童最常见的症状是支气管肺部,占 89.2%,其次是鼻旁窦症状(72.3%)、耳科(46.1%)和 UAW 感染反复发作(44.6%)。当我们比较 pH 值测量结果的每个症状组的存在时,发现症状与 pH 值测量结果之间没有显著差异。

结论

GERD 可以以不同的方式表现出来,耳鼻喉科症状在儿童中很常见。

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Int J Pediatr Otorhinolaryngol. 2006 Jan;70(1):81-8. doi: 10.1016/j.ijporl.2005.05.021. Epub 2005 Jul 5.
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Gastroesophageal reflux and the upper airway.胃食管反流与上呼吸道
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