| 老年非心源性胸痛与酸反流的临床探讨 |
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| 引用本文： | 袁爱梅,梁兴伦,朱敏洁. 老年非心源性胸痛与酸反流的临床探讨[J]. 科技资讯, 2008, 0(2) |
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| 作者姓名： | 袁爱梅 梁兴伦 朱敏洁 |
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| 作者单位： | 上海市杨浦区中心医院干部保健科 |
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| 摘 要： | 目的通过对老年非心源性胸痛(NCCP)与酸反流关系的了解,探讨质子泵抑制剂(PPI)试验对NCCP病因诊断价值.方法对42例老年NCCP患者进行胃镜、24小时食管pH监测、质子泵抑制剂(PPI)试验性抗反流治疗.结果42例老年NCCP中,有20例(47.62%)的Deme吼日r总积分>14.72;有14倒(53.55%)霄镜检查诊为反流性食管炎;有29例(69.05%)PPI试验Fe,I生。阳性卒明显高于与霄镜检生、24小时食管pH监测,有显著差异(P<0.05);PPI试验敏感性为90%,PPI试验特异性为81.82%.结论NCCP主要原因是酸反流,PPI试验可作为老年NCCP患者简便、经济、有效的病因诊断方法.
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| 关 键 词： | 非心源性胸痛 胃食管反流 质子泵抑制剂 |
To investigate the relationship between noncardiac chest pain and acid reflux in the aged |
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| Yuan Aimei Liang Xinglun Zhu Minjie. To investigate the relationship between noncardiac chest pain and acid reflux in the aged[J]. Science & Technology Information, 2008, 0(2) |
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| Authors: | Yuan Aimei Liang Xinglun Zhu Minjie |
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| Affiliation: | Yuan Aimei Liang Xinglun Zhu Minjie (Department of Geriatrics; Yangpu central hospital Affiliated to Shanghai Jiaotong University; Shanghai 200090; China); |
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| Abstract: | Objective To probe the relationship of non-cardiac chest pain and acid reflux in the aged and test the efficacy of proton pump inhibitors(PPI)as a diagnostic test in the evaluation of NCCP.Methods 42 patients,who presented with recurrent chest pain complaints of a noncardiac etiology,were using high-dose omeprazole(40 mg/d orally twice daily)for 28 days.Findings were compared with those of endoscopy and ambulatory 24-hour esophageal pH monitoring.Patients were instructed to record all chest pain episodes be... |
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| Keywords: | non-cardiac chest pain gastroesophageal reflux proton pump inhibitors |
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