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老年人食管24 h pH监测分析
引用本文:高萍,张绍刚,张美艳. 老年人食管24 h pH监测分析[J]. 临床军医杂志, 2008, 36(5)
作者姓名:高萍  张绍刚  张美艳
作者单位:解放军第254医院,干部三科,天津,300142;解放军第254医院,干部三科,天津,300142;解放军第254医院,干部三科,天津,300142
摘    要:目的探讨老年人食管酸暴露情况并与其他人群进行对照比较,以了解老年人食管酸反流的特点及其临床意义。方法采用便携式24 h pH动态监测仪对31例老年人进行食管24 h pH监测,并与40例其他人群进行对照比较。结果老年人组24 h食管酸暴露的6项pH指标中有4项与对照组差异有统计学意义(P<0.05)。95%分布范围中,立位pH<4的总时间(%)和pH<4的反流次数的指标两组较为接近,余4项指标老年组数值均高于对照组。总计分老年组为14.9,高于对照组(12.7)。结论老年人组食管酸暴露多项指标高于对照组,提示可能与老年人食管运动功能和清除酸的能力下降以及食管下端括约肌(LES)功能较年轻人减弱有关。

关 键 词:老年人  24hpH监测  胃食管反流病

Analysis of 24-hour Esophageal pH Monitoring in Elderly Volunteers
Gao Ping,Zhang Shao-gang,Zhang Mei-yan. Analysis of 24-hour Esophageal pH Monitoring in Elderly Volunteers[J]. Clinical Journal of Medical Officer, 2008, 36(5)
Authors:Gao Ping  Zhang Shao-gang  Zhang Mei-yan
Affiliation:Gao Ping,Zhang Shao-gang,Zhang Mei-yan(Department of Third Cadre Ward,PLA No.254 Hospital,Tianjin 300142,China)
Abstract:Objective To obtain the normal values of esophageal acid exposure in elderly persons in order to know the feature of esophageal sour regurgitation and its clinical significancy.Methods Esophageal pH was measured for 24 hours by dynamic monitoring instrument in 31 elderly volunteers(elderly group) and 40 non-elderly persons(control group).Results There were four pH-related parameters that increased significantly in the elderly group when compared with the control group(P<0.05).In the 95% of distributed range...
Keywords:elderly  24-hour esophageal pH monitoring  gastroesophageal reflux disease  
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