University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
Best Pract Res Clin Gastroenterol. 2013 Jun;27(3):365-71. doi: 10.1016/j.bpg.2013.06.007.
The diagnosis of GERD in primary care settings can be enhanced by the use of structured questionnaires that suggest a high probability of GERD. Clinical outcomes can be improved and costs reduced by adopting this strategy. Using predominant symptoms to determine the path of treatment or the use of an empirical test of proton pump inhibitors has not been proven to be reliable and should be abandoned.
在基层医疗机构中，使用提示 GERD 高概率的结构化问卷可以提高 GERD 的诊断水平。采用这种策略可以改善临床结果并降低成本。根据主要症状来确定治疗路径或使用质子泵抑制剂的经验性测试并不可靠，应予以摒弃。
