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1.
24h食管pH监测的操作及护理   总被引:8,自引:1,他引:7  
探讨24h食管pH监测的操作方法和护理要点。介绍了该项检查的适应证,强调病人心理准备、充分空腹及禁用影响胃酸分泌药物和胃动力药物是保证监测成功的必要条件。提出综合量长法是保证电极在食管内准确定位的可取办法,肯定以表格记录法替代按键输入法是防止受检者向监测仪误输信息的重要手段。介绍了电极清洁方法和记录使用次数,以免早损和超期使用。  相似文献   

2.
胃食管反流病人24h食管pH值监测结果分析及护理   总被引:1,自引:0,他引:1  
[目的]分析胃食管反流病人24 h食管监测结果,为临床诊断、治疗和护理提供依据。[方法]对反流性食管炎、非糜烂性反流病、Barrett’s食管、咽部异物感及慢性咳嗽、哮喘病人进行24 h食管pH值监测及护理。[结果]反流性食管炎组pH值〈4的反流次数、反流持续≥5 min次数、DeMeester评分明显高于对照组(P〈0.01),非糜烂性反流病组和Barrett’s食管组pH值〈4的反流次数、反流持续≥5 min次数、pH值〈4总时间百分比(%)、DeMeester评分明显高于正常对照组(P〈0.05或P〈0.01)。[结论]反流性食管炎、非糜烂性反流病、Barrett’s食管和咽部异物感及慢性咳嗽与异常胃食管反流有关。  相似文献   

3.
目的 探讨并总结24 h食管pH/阻抗监测在胃食管反流病(GERD)中的应用效果与护理体会.方法 利用24 h食管pH/阻抗监测技术,对68例患者进行监测及护理.结果 66例一次置管成功,2例二次置管成功.置管后无鼻咽、胃部损伤以及误吸等并发症.置管前后每例患者呼吸、脉搏、血压的检测结果无显著差异(P>0.05).本组患者确诊为GERD者59例(86.76%),其中酸反流为主者34例(50%),弱酸反流为主者23例(33.82%),非酸反流为主者2例(2.94%).结论 24 h食管pH值/阻抗监测是安全、有效、无创、客观的检查技术,可以更加准确的诊断GERD.正确的插管方法及良好的护理配合是提高检查成功率的必要措施.  相似文献   

4.
目的探讨对行食管24hpH与胆汁联合监测患者的整体护理。方法在对20例行食管24hpH与胆汁联合监测的患者进行身心状况全面评估的基础上,有针对性地进行心理护理与检查指导,总结术中及术后护理要点。结果20例患者均顺利完成了检查。结论良好的护患关系、耐心的解释与健康教育及有针对性地心理护理是检查顺利完成的重要因素。  相似文献   

5.
[目的]分析胃食管反流病人24 h食管监测结果,为临床诊断、治疗和护理提供依据.[方法]对反流性食管炎、非糜烂性反流病、Barrett's食管、咽部异物感及慢性咳嗽、哮喘病人进行24 h食管pH值监测及护理.[结果]反流性食管炎组pH值<4的反流次数、反流持续≥5 min次数、DeMeester评分明显高于对照组(P<0.01),非糜烂性反流病组和Barrett's食管组pH值<4的反流次数、反流持续≥5 min次数、pH值<4总时间百分比(%)、DeMeester评分明显高于正常对照组(P<0.05或P<0.01).[结论]反流性食管炎、非糜烂性反流病、Barrett's食管和咽部异物感及慢性咳嗽与异常胃食管反流有关.  相似文献   

6.
凌慧芬  朱秀琴 《现代护理》2005,11(2):152-153
目的研究24小时食管pH值监测在胃食管反流病人中的应用。方法通过24h食管pH值监测,了解胃食管返流的次数、程度、时间、返流与症状之间的关系以及抗反流手术前、后评价。并对31例拟诊为GERD患者24h食管pH值监测过程的进行护理。结果整个pH监测过程受诸多因素影响,熟练的操作技术,电极的定位,完整的监测日记,在食管pH监测中尤为重要。结论监测的结果直接关系到诊断及治疗措施。  相似文献   

7.
24小时食管PH监测对诊断胃食管反流的临床研究   总被引:2,自引:0,他引:2  
目的:探索24h食管pH检测对胃食管反流和胃食管反流性疾病的诊断价值。 方法:采用携带式24h食管pH分析仪对37例具有胃食管反流症状患者作为疾病组在常态下进行24h食管pH监测,并以20名健康成人作为对照组进行比较。 结果:20名正常成人中平均97.7%的时间食管pH>4,观察6项食管pH测定指标,得出95%的正常值范围:pH<4的总时间百分率为4.97%;pH<4的立位时间百分率为3.82%;pH<4的卧位总时间百分率2.34%,反流持续≥5min的次数<2.57;最长反流持续时间<18.62min,pH<4的反流次数为25.69次。疾病组与对照组相比有显著差异(P<0.01),24h食管pH监测的阳性检出率为94.59%,明显高于食管钡餐X线检查(27.02%)、内镜检查(40.54%)及食管粘膜活检(51.35%)等方法。 结论:24h食管pH监测的指标对鉴别生理性与病理性GER,深入了解GER与食管炎的关系,特别对GERD的诊断和疗效判定,提供了可靠的依据。其诊断价值明显优于食管钡餐X线检查和内镜检查。  相似文献   

8.
目的:为了使24小时食管pH监测广泛用于临床诊断及指导治疗。方法:对58例功能性消化不良,18例心绞痛伴胸痛及25例无症状志愿者进行24小时食管pH监测。结果:功能性消化不良组18例阳性,占31.0%,特别是有反流症状30例有15例阳性,占50.0%,胸痛组13例阳性,中72.2%,对照组2例阳性,占8.0%,功能性消化不良组和胸痛组阳性率均高于对照组,功能性消化不良有反流症状者的阳性率亦高于无反  相似文献   

9.
目的:探讨对行食管24h pH与胆汁联合监测患者的整体护理。方法:在对20例行食管24h pH与胆汁联合监测的患者进行身收状况全面评估的基础上,有针对性地进行心理护理与检查指导,总结术中及术后护理要点,结果:20例屠 均顺利完成了检查。结论:良好的护患关系,耐心的解释与健康教育及有针对性地心理护理检查顺利完成的重要因素。  相似文献   

10.
目的:本文旨在探讨食管pH监测和内镜检查在GERD中的诊断价值。方法:临床诊断GERD患者121例行内镜及pH检查,对照组18例行内镜和pH检查。结果:内镜食管炎检出率51.2%(74/121),pH检测,阳性率87.6%(106/121)。对74例内镜诊断的食管炎与pH检测进一步分析显示食管酸暴露时间越长,内镜下炎症程度及症状越重。而32例内镜阴性的症状性反流性食管炎,症状多为轻中度,pH<4的总时间%的值亦偏低,但其数值与食管酸暴露数值有重叠。故不能以内镜阳性作为诊断GERD的客观依据,必须结合使用其他方法才能回答有否反流。结论:24h pH确实是诊断GERD的比较理想的方法。  相似文献   

11.
目的 分析影响24h胃食管pH监测过程的因素,提高操作的完成率及准确性.方法 收集我院接受24h胃食管pH监测的患者共264例,对检查操作过程中患者的配合情况及感受;监测电极定位过程是否顺利;监测结果是否满足分析需要进行记录和分析.结果 共264例患者接受检查,230例(87.1%)患者顺利完成检查,34例患者在检查过程中出现电极插入困难、患者耐受问题和电极接触障碍等.结论 患者耐受程度、电极插入及定位、电极接触障碍及等会影响24h胃食管pH监测检查.细致的健康宣教有助于检查的顺利进行.  相似文献   

12.
24-hour intraesophageal pH monitoring(24-pH-M) is a method of choice to measure the esophageal acid exposure, and evaluate a patient's lifestyle who has reflux symptoms. The 24-pH-M is indicated to the cases who have at least one of the following signs/symptoms; endoscopy negative GERD(gastroesophageal reflux disease), atypical clinical course for reflux disease, atypical symptoms of GERD, and those who are subjected to have surgical treatment. In the 24-pH-M, not only the duration of gastroesophageal reflux(GER), but also reflux and symptom association should be evaluated. The 24-pH-M is useful to investigate the diagnosis and treatment of GERD including reflux esophagitis.  相似文献   

13.
目前,对GERD(GastoesophagealRefluxDisease,GERD)有不少研究报道,如GERD患者的24h食管pH动态监测、压力测定、内镜和病理等,但对它们之间关系的研究却无系列报道。据称,食管pH动态监测较其它任何临床诊断方法都有更高的敏感性和特异性,被认为是诊断GER的“金标准”。本研究即利用这一“金标准”对GERD患者进行食管PH动态监测及食管压力测定,同时研究其与内铺表现及病理改变之间的关系。1对象与布法1.1研究对象1.1.1正常对照组选择无胃肠肝胆疾病,无食管返流症状、无腹部手术史,心电图、血尿常规、内镇及病理检查…  相似文献   

14.
In 24 h oesophageal pH monitoring, pH 4 is widely but arbitrarily used as the threshold between reflux and non-reflux pH values. The aim of the study was to define pH thresholds objectively, based on Gaussian curve fitting of pH frequency distributions. Single-channel 24 h oesophageal pH monitoring was performed in 26 healthy volunteers and 26 patients with pathological gastro-oesophageal reflux, and five-channel pH-metry was performed in 14 healthy volunteers and 14 patients. The calculated pH thresholds varied between healthy volunteers from 5.0 to 6.4 in the upright position and from 4.5 to 5.7 in the supine position, but were constant between different oesophageal recording sites. In 15 and nine patients (single-channel and five-channel pH-metry respectively), pH thresholds could not be determined at the distal oesophageal sites. However, the calculated pH thresholds in the proximal oesophagus were in the same range as in the control subjects. The authors conclude that the use of the conventional threshold of pH 4 leads to underestimation of the extent of gastro-oesophageal reflux, but are reluctant to advocate the use of higher thresholds in clinical practice.  相似文献   

15.
Summary. The validity of 24-h oesophageal pH recording was studied in 100 consecutive patients who had gastro-oesophageal reflux (GER) symptoms and had indications for a 24-h pH recording. The aim was to explore the relationship of patient symptoms, endoscopic findings and histopathological analysis of oesophageal mucosa with the findings in pH recording. Among these patients with typical GER symptoms, the multiplicity of symptoms or their nature did not differentiate them, but in all groups abnormal amounts of reflux were present, as compared with usual reference pH recording values. Yet, among these symptomatic patients, the macroscopic severity of oesophagitis and histologically defined oesophagitis were related to increased abnormality of 24-h pH recording. The results suggest that 24-h pH recording of the oesophagus gives a good indication of the severity of gastro-oesophageal reflux disease and, as such, superior to patient symptoms.  相似文献   

16.
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