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反流发现评分(RFS):喉咽反流诊断和治疗的定量指南。

Reflux Finding Score (RFS) a Quantitative Guide for Diagnosis and Treatment of Laryngopharyngeal Reflux.

作者信息

Kirti Y K

机构信息

Y K ENT Clinic, 132 C, Zone 1, Maharana Pratap Nagar, Bhopal, 462016 India.

出版信息

Indian J Otolaryngol Head Neck Surg. 2018 Sep;70(3):362-365. doi: 10.1007/s12070-018-1350-3. Epub 2018 Apr 10.

Abstract

The study was under taken to know the prevalence of reflux signs in an individuals with throat complaints on the basis of reflux finding score (RFS) and quantitatively assess the effect of treatment. A cross-sectional study was done to evaluate the presence of laryngo-pharyngeal reflux signs in patients visiting ENT clinic with throat or voice problems in central India. There were 80 patients included in the study from 2017 to 2018 individuals. They were questioned regarding their symptoms. Their pharyngeal findings on rigid 70° laryngoscopy were viewed and RFS was made. The patients were reviewed at monthly intervals. Laryngopharyngeal reflux changes were seen in 36 of the 80 patients (45%). The reflux was graded as per the reflux finding score. The score ranged from 7 to maximum of 17 out of 26 in the patients with LPRD. Majority of the patients the score decreased with lifestyle changes and pantaprazole twice daily. There was poor response in 5% (4) patients, who were then advised to undergo upper gastro intestinal endoscopy for further assessment. Laryngopharyngeal reflux has become a very common entity in urban lifestyle. On careful examination the signs can be picked and assessed with the RFS, which is a very useful tool to grade and reassess patient on subsequent follow up.

摘要

本研究旨在基于反流发现评分(RFS)了解有咽喉不适的个体中反流体征的患病率,并定量评估治疗效果。进行了一项横断面研究,以评估印度中部因咽喉或嗓音问题前往耳鼻喉科诊所就诊的患者中喉咽反流体征的存在情况。2017年至2018年期间,共有80名患者纳入本研究。对他们进行了症状询问。观察了他们在70°硬性喉镜检查下的咽部表现,并进行了反流发现评分。对患者每月进行一次复查。80名患者中有36名(45%)出现了喉咽反流变化。根据反流发现评分对反流进行分级。在患有喉咽反流疾病(LPRD)的患者中,评分范围为7至26分中的最高17分。大多数患者通过改变生活方式和每日服用两次泮托拉唑后评分下降。5%(4名)患者反应不佳,随后建议他们接受上消化道内镜检查以进一步评估。喉咽反流在城市生活方式中已成为一种非常常见的情况。通过仔细检查,可以利用反流发现评分来识别和评估体征,这是在后续随访中对患者进行分级和重新评估的非常有用的工具。

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