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体位、干咽与湿咽、吸烟及饮酒对食管酸清除的影响。

Influence of body position, dry and water swallows, smoking, and alcohol on esophageal acid clearing.

作者信息

Kjellén G, Tibbling L

出版信息

Scand J Gastroenterol. 1978;13(3):283-8. doi: 10.3109/00365527809179821.

DOI:10.3109/00365527809179821
PMID:39328
Abstract

Esophageal acid clearing in normal subjects was studied in different body positions, with an assessment of reproducibility, after dry and water swallows, after smoking, and after alcohol intake. A significant increase in the number of swallows to raise the distal esophageal pH to 5.0 was found in the head-down position (p less than 0.003), after smoking (p less than 0.003), and after alcohol intake (p less than 0.001). It is proposed that the outcome of the acid-clearing test reflects both the transporting capacity of the esophageal muscles and the production of saliva. The precision of the acid-clearing test is not satisfactory, which makes it unsuitable for use in individual cases. It seems, however, well fitted for evaluation of esophageal acid clearing in larger samples.

摘要

在不同体位下,对正常受试者进行食管酸清除研究,评估其重复性,并观察干吞和饮水吞咽后、吸烟后以及饮酒后的情况。发现头低位(p<0.003)、吸烟后(p<0.003)和饮酒后(p<0.001),将食管远端pH值升至5.0所需的吞咽次数显著增加。有人提出,酸清除试验的结果反映了食管肌肉的运输能力和唾液分泌情况。酸清除试验的精确度不尽人意,不适用于个体病例。然而,它似乎很适合用于评估较大样本中的食管酸清除情况。

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