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pH监测

pH监测的相关文献在1991年到2022年内共计165篇,主要集中在内科学、临床医学、肿瘤学 等领域,其中期刊论文122篇、会议论文3篇、专利文献270927篇;相关期刊86种,包括中国医疗器械杂志、临床消化病杂志、中华消化杂志等; 相关会议3种,包括中国医师协会第三次全国新生儿科医师大会、2012年江苏省中医药学会脾胃病专业学术年会、2000年度全国中西医结合消化系统疾病学术交流会等;pH监测的相关文献由473位作者贡献,包括李兆申、叶萍、王磊等。

pH监测—发文量

期刊论文>

论文:122 占比:0.05%

会议论文>

论文:3 占比:0.00%

专利文献>

论文:270927 占比:99.95%

总计:271052篇

pH监测—发文趋势图

pH监测

-研究学者

  • 李兆申
  • 叶萍
  • 王磊
  • 许国铭
  • 邹多武
  • 高萍
  • 吴玮
  • 唐晓丹
  • 张权
  • 期刊论文
  • 会议论文
  • 专利文献

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    • 代丽丽; 汤维; 尤悦; 吴宏林; 彭光华; 陈朝辉; 周雪华; 耿爽; 林笑含
    • 摘要: 目的在国内外咽喉反流病(LPRD)动物模型建立的基础上,提出食管球囊扩张建模的新方法,并与国内外常见的食管内支架联合食管球囊扩张的方法进行比较。方法选取生理状态相似的新西兰兔32只,以随机数表法对其进行编号,并将实验兔均分为3组,分别为实验A组(n=11)、实验B组(n=11)和对照组(n=10)。实验A组采用球囊扩张食管上括约肌(UES)和食管下括约肌(LES)的方法制作LPRD动物模型;实验B组在LES处以球囊扩张,在UES处以金属支架进行扩张;对照组在UES和LES处分别置入食管球囊,但不对球囊进行扩张。定期观察实验兔的一般生长情况及生存状态,监测酸反流情况,取建模4周后声带组织行病理学染色,比较实验组与对照组间的差异。结果实验A组和实验B组相较于对照组,在酸反流事件数、最长反流时间和酸反流时间百分率上差异有统计学意义(P0.05)。结论食管球囊扩张建模的方法可以完成LPRD动物模型,与食管内支架联合食管球囊扩张效果相近,但其操作简便,术后动物模型死亡率更低。
    • 陈茜
    • 摘要: 目的 探究GERD(胃食管反流病)采用健脾和胃温阳利膈方治疗的临床疗效.方法 将2018年8月~2020年7月在我院接受治疗的197例GERD患者视为研究对象,以随机数字表法分为两组,甲组行常规西医治疗,乙组采用健脾和胃温阳利膈方治疗,对比两组临床疗效、治疗前后中医症候积分以及食管24h pH值监测情况.结果 与甲组(76.53%)比较,乙组(90.91%)治疗总有效率更高(P5min反流次数、24h反流次数更少(P<0.05).结论 GERD采用健脾和胃温阳利膈方治疗的临床疗效显著,能减轻各种临床症状,改善食管状况.
    • 胡志伟; 毛建新; 许辉; 汪忠镐; 吴继敏; 湛莹; 辛荣华; 梁艳; 张玉; 战秀岚
    • 摘要: Objective To explore the advantages of multiple channel intraluminal pH-impedance reflux monitoring (MII-pH) over single pH monitoring for the diagnosis of gastroesophageal reflux disease (GERD), and the characteristics of reflux episodes in patients with gastroesophageal reflux disease. Methods The data of adult GERD patients under MII-pH monitoring for the first time in our center between June 2015 and June 2017 was included. The positive rate of the main indicators of the pH channel and impedance channel of MII-pH monitoring, and the statistical relationships between the reflux indicators were analyzed. Results A total of 1780 patients with GERD were included, 889 of whom were males and 891 females, (51. 6 ± 12. 9) years old. There were 1026, 1045, 462, 258, 448, 370, and 540 cases of acid reflux, heart burning, belching, chest pain, cough, asthma, and globus sensation symptom, respectively. The positive rate of the pH channel was 26. 3%, of which the positive rate of De Meester score was 25. 4%, and that of acid exposure time (AET) was 25. 4%. The positive rate of the impedance channel was 69%, where the positive rate of total reflux volume was 21. 5%, the numbers of liquid acid reflux episodes and non acid reflux episodes were statistically different (P < 0. 001), and there was statistically significant difference between the number of liquid acid reflux episodes and that of gas reflux episodes (P <0. 001). The positive rate of bolus exposure time (BET) was 40. 3%, and the positive rate of symptom reflux association was 53%.The total positive rate of MII-pH monitoring was 71. 3%. There was statistically significant difference (P < 0. 001) and a statistically significant correlation (r = 0. 904> 0. 9, P < 0. 001) between the number of acid reflux episodes of the impedance channel and that of the pH channel. The difference in McNemar chi square test of the positive rate of total reflux volume and symptom reflux association was statistically significant (P < 0. 001, Kappa = 0. 15), so was the difference in McNemar chi square test of the positive rate of pH channel and symptom reflux association (P < 0. 001, Kappa =0. 120). Conclusions MII-pH monitoring is highly consistent and more sensitive for detecting acid reflux episodes compared with single pH monitoring. Non-acid reflux and gas reflux episodes detected by the impedance channel of MII-pH monitoring can significantly improve the detection rate of GERD. Analysis of symptom reflux association can improve the detection rate of GERD and even reflux hypersensitivity (esophagus and airway).%目的 探讨pH联合阻抗监测(multiple channel intraluminal pH-impedance reflux monitoring,MII-pH)相对于单纯pH监测在胃食管反流病(gastroesophageal reflux disease,GERD)评估中的优点,及胃食管反流病患者反流事件的特征.方法 纳入2015-06至2017-06火箭军特色医学中心胃食管反流病中心首次行MII-pH监测的成年GERD患者,分析MII-pH监测的pH通道和阻抗通道的各主要反流指标的阳性率,以及各反流指标之间的统计学关系.结果 共纳入GERD患者1780例,男889例,女891例,年龄(51.6±12.9)岁,有反酸、烧心、嗳气、胸痛、咳嗽、哮喘和咽部异物感等症状的患者分别为1026、1045、462、258、448、370、540例.pH通道的阳性率为26.3%,其中De Meester积分的阳性率为25.4%,酸反流时间百分比的阳性率为25.4%.阻抗通道监测的阳性率为69.0%,其中反流总次数的阳性率为21.5%,液体酸反流和非酸反流次数相比有统计学差异(P <0.001),液体酸反流和气体反流次数相比有统计学差异(P <0.001);食团暴露时间百分比的阳性率为40.3%;症状相关性的阳性率为53.0%.MII-pH监测的总阳性率为71.3%.阻抗通道和pH通道的酸反流次数相比有统计学差异(P <0.001)和相关性(r=0.904> 0.9,P <0.001).反流总量阳性率和症状相关性阳性率的McNemar卡方检验P <0.001,Kappa=0.15;pH通道阳性率和症状相关性阳性率的McNemar卡方检验P <0.001,Kappa=0.120.结论 MII-pH监测与单纯pH监测相比对酸反流事件的检出一致性非常高,并且更为敏感.MII-pH监测通过阻抗通道对非酸反流和气体反流的检测可显著提高GERD的检出率,并通过症状相关性分析可进一步提高GERD乃至反流高敏感(食管和气道)的检出率.
    • 王嘉森; 李进让; 吴慕坤
    • 摘要: Objective To evaluate the feasibility of pepsin strip test in the diagnosis of laryngopharyngeal reflux. Methods From August 2017 to September 2018, 80 patients in Department of Otorhniolaryngology Head and Neck Surgery, Chinese People's Liberation Army General Hospital-Six Medical Centre, underwent pepsin strip test and 24-hour multichannel intraluminal impedance(MII)-pH monitoring. The results of the two methods were analyzed for consistency, and 24-hour MII-pH monitoring was used as a statistical reference for the sensitivity and specificity of pepsin strip test in the diagnosis of laryngopharyngeal reflux. Data were analyzed by SPSS 19.0 software. Results There were 57 patients with positive pepsin test strip and 23 patients with negative pepsin test strip. The score of reflux symptoms and signs, and the positive rate of laryngopharyngeal reflux events in patients with positive pepsin strip test were significantly higher than those in patients with negative pepsin test strip. If there was one or more throat reflux events (including acid reflux, weak acid reflux and alkali reflux) as the positive results of 24-hour MII-pH monitoring, the consistency between the results of pepsin strip and 24-hour MII-pH was moderate (Kappa=0.614). The sensitivity and specificity of pepsin strip were 86.9% (53/61) and 78.9% (15/19) respectively. Conclusions Pepsin strip detection has the advantages of non-invasive, cheap and easy to operate. As an objective method for early diagnosis of laryngopharyngeal reflux, pepsin strip detectionis feasible,but can not be the final diagnosis for laryngopharyngeal reflux disease.%目的 评估胃蛋白酶试纸条检测诊断咽喉反流的可行性.方法 对2017年8月至2018年9月在解放军总医院第六医学中心耳鼻咽喉头颈外科就诊且可疑咽喉反流的80例患者,同时行胃蛋白酶试纸条检测和24 h多通道腔内阻抗(multichannel intraluminal impedance,MII)-pH监测.将两种诊断方法的结果 行一致性分析,并以24 h MII-pH监测为参照统计胃蛋白酶试纸条检测诊断咽喉反流的敏感度和特异度.采用SPSS 19.0统计学软件进行统计学分析.结果胃蛋白酶试纸条检测阳性患者57例,阴性患者23例.胃蛋白酶试纸条检测阳性患者的反流症状和体征评分、咽喉反流事件阳性率显著高于阴性患者.若以存在1次及以上的咽喉反流事件(包括酸反流、弱酸反流和碱反流)作为24 h MII-pH监测阳性结果来参照,则胃蛋白酶试纸条检测和24 h MII-pH监测结果的一致性中等(Kappa值=0.614),胃蛋白酶试纸条检测的敏感度为86.9%(53/61)、特异度为78.9%(15/19).结论 胃蛋白酶试纸条检测有无创、价廉和易于操作的优点,作为一种初期诊断咽喉反流的客观方法是可行的,但不能作为最终诊断咽喉反流性疾病的标准.
    • 王磊; 吴玮; 王刚
    • 摘要: 目的 探讨唾液胃蛋白酶检测及咽部pH检测方法对咽喉反流性疾病(LPRD)的诊断意义.方法 回顾性分析2016年2至12月解放军第三○六医院耳鼻咽喉头颈外科疑有咽喉反流的176例患者(单纯咽喉炎患者140例,咽喉占位性病变患者36例)咽部pH(Dx-pH)检测结果及唾液胃蛋白酶酶联免疫吸附检测结果,所有患者均填写反流症状指数(RSI)量表并行反流体征评分(RFS).结果 176例患者量表评分阳性率为56.8% (100/176),唾液胃蛋白酶检测阳性率40.9% (72/176).症状发作时唾液胃蛋白酶阳性率明显高于其他时间点(P<0.001).咽喉占位性病变患者唾液胃蛋白酶阳性率(55.6%,20/36)高于单纯咽喉炎组(37.1%,52/140) (P =0.045).咽喉占位性病变患者咽部pH检测Ryan指数阳性率[27.8% (10/36)比5.0% (7/140),P<0.001]及pH <6.0反流阳性率[69.4% (25/36)比50% (70/140),P=0.037]均高于单纯咽喉炎患者.结论 咽部pH检测及唾液胃蛋白酶检测分别反映咽喉反流的不同物质,两者联合使用对LPRD诊断价值更大.弱酸状态及由此引发的胃蛋白酶对黏膜的损伤对咽喉占位性病变的发生发展起到一定作用.%Objective To investigate the significance of the detection of pepsin in saliva and the pharyngeal pH monitoring in the diagnosis of laryngopharyngeal reflux disease (LPRD).Methods A total of 176 patients (140 patients with simple pharyngitis and 36 patients with space-occupying lesions of larynx)who were suspected to have laryngopharyngeal reflux between February and December 2016 were retrospectively reviewed.All the patients were evaluated with reflux symptom index (RSI),reflux finding score (RFS) and 24-hour pharyngeal pH monitoring (Dx-pH).Saliva of patients was collected and the pepsin in the saliva was measured by enzyme-linked immunosorbent assay (ELISA).Results The positive rate of RSI (RSI > 13) and/or RFS (RFS > 7) was 56.8% (100/176).The positive rate of pepsin in saliva was 40.9% (72/176) and pepsin in saliva collected at the time of onset of symptom was much higher than that at other time points (P <0.001).The positive rate of pepsin in saliva,Ryan score and the pH <6.0 laryngopharyngeal reflux in space-occupying lesions group [55.6% (20/36),27.8% (10/36),69.4% (25/36),respectively] were all higher than simple pharyngitis group [37.1% (52/140),5.0% (7/140),50% (70/140),respectively] (P =0.045,P <0.001,P =0.037,respectively).Conclusions The detection of pepsin in saliva and the pharyngeal pH monitoring reflected different reflux agents,and there was great significance for the diagnosis of LPRD by using two methods together.We found that the weak acid state and consequent pepsin damage played an important role in the occurrence and development of space-occupying lesions of larynx.
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