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15小时持续食管pH监测:体位对无症状婴儿胃食管反流的影响

Fifteen-hour continuous esophageal pH monitoring: influence of position on gastroesophageal reflux among asymptomatic babies.

作者信息

Tam P, Lin L H

机构信息

Department of Pediatrics, Cathay General Hospital, Taipei, Taiwan, R.O.C.

出版信息

Zhonghua Min Guo Xiao Er Ke Yi Xue Hui Za Zhi. 1993 Jan-Feb;34(1):14-21.

PMID:8333282
Abstract

Using continuous esophageal pH monitoring, we examined 40 asymptomatic babies to evaluate the influence of different positions (prone, supine, right and left side lying position) on gastroesophageal reflux (GER). Several parameters including percent of time with a pH < 4, numbers of reflux episode, numbers of reflux episode lasting more than 5 min, average duration of longest reflux and average pH were studied. All babies were born fullterm and were 1 to 14 days old (average: 4 days). Male to female ratio was 1.7:1. For all parameters, except for average pH, we obtained more favorable results in prone position (p < 0.05). Continuous esophageal pH monitor is a suitable technique to evaluate GER under physiologic circumstances.

摘要

我们采用连续食管pH监测法,对40名无症状婴儿进行了检查,以评估不同体位(俯卧位、仰卧位、右侧卧位和左侧卧位)对胃食管反流(GER)的影响。研究了几个参数,包括pH值<4的时间百分比、反流发作次数、持续超过5分钟的反流发作次数、最长反流的平均持续时间以及平均pH值。所有婴儿均为足月儿,年龄在1至14天之间(平均:4天)。男女比例为1.7:1。对于所有参数,除了平均pH值外,我们在俯卧位时获得了更有利的结果(p<0.05)。连续食管pH监测是一种在生理情况下评估GER的合适技术。

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引用本文的文献

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Arch Dis Child Fetal Neonatal Ed. 2002 May;86(3):F147-50. doi: 10.1136/fn.86.3.f147.
2
Prone and left lateral positioning reduce gastro-oesophageal reflux in preterm infants.俯卧位和左侧卧位可减少早产儿胃食管反流。
Arch Dis Child Fetal Neonatal Ed. 1999 Nov;81(3):F201-5. doi: 10.1136/fn.81.3.f201.
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Posture and gastro-oesophageal reflux: a case for left lateral positioning.姿势与胃食管反流:左侧卧位的实例分析
Arch Dis Child. 1997 Mar;76(3):254-8. doi: 10.1136/adc.76.3.254.