胃食管反流性咳嗽38例临床分析
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【摘要】目的探讨基层医院对胃食管反流性咳嗽的治疗方法。方法对笔者所在医院2006年3月～2010年9月收治的38例胃食管反流性咳嗽患者的临床表现、治疗方法及治疗效果进行回顾性分析。结果通过对患者进行宣教，给予质子泵抑制剂及促胃动力药等治疗，18例患者口服药物7～14 d时症状缓解，21 d左右症状消失； 14例患者口服药物15～21 d时症状缓解，4周时症状消失；6例症状较重者服药4周时症状明显减轻，总疗程≥2个月。结论通过改变饮食及睡眠习惯，应用质子泵抑制剂及促胃动力药，积极治疗消化性溃疡等原发病，胃食管反流性咳嗽可取得满意疗效。
【关键词】胃食管反流；慢性咳嗽
Clinical analysis of 38 cases involving cough caused by gastroesophageal reflux HUANG Liang-hai.Yangzhong Youfang Hospital,Yangzhong 212218,China
【Abstract】ObjectiveTo investigate the treatment method of cough caused by gastroesophageal reflux in primary hospital. MethodsThe clinical datas of 38 patients with cough caused by gastroesophageal reflux were retrospectively analyzed, who were diagnosed and treated in our hospital from March 2006 to September 2010. Then the clinical futures, treatment methods and curative effects were summed up. ResultsAfter the education and treatment of PPI and gastro-kinetic agent, the symptoms of 18 cases improved within 7-14 d,disappeared after 21 d, the symptoms of 14 cases improved within 15-21 d, disappeared after 4 weeks, 6 cases with serious symptoms alleviated after taking medicine for 4 weeks, and the whole treatment time was ≥ 2 months ......
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