胆汁反流性胃炎诊疗现状调查.pdfVIP

中文摘要 河南地区胆汁反流性胃炎检出率高于全国统计数字。胆汁反流性胃炎症状 中前几位分别为上腹胀、口苦、烧心、反酸、抑郁焦虑、腹泻、恶心、胸骨后 不适。 胃镜下观察胆汁反流性胃炎患者十二指肠胆汁瘀积是正常人的23.4倍，十 二指肠胆汁淤积表现对胆汁反流性胃炎的诊断具有重要意义。 胃蛋白酶原的检测在胆汁反流性胃炎的诊断中具有重要意义，活组织病理 检查前后无统计学意义，加用胃粘膜保护剂在治疗胆汁反流性胃炎上的疗效较 单用抑酸剂要好，胃粘膜保护剂之间效果无明显差异。 关键词 胆汁反流性胃炎 症状 胃粘膜组织 病理 胃蛋白酶原 胃粘膜保护剂 Ⅱ 万方数据 Abstract Abstract Purpose Collected clinical bile reflux gastritis patients . So we further refined bile reflux gastritis symptom diagnosis,understood endoscopic bile reflux gastritis detection rate and found the correlation of popular gastric duodenal cholestasis and bile reflux. During the treatment,we found in diagnosis and pathologic examination and pepsin, detection and the correlation of bile reflux gastritis, giving acid suppression agent and acid suppression agent with mucosal protective agent.After the treatment of 3 weeks , compare the difference between the efficacy of various drugs. Objects and methods We select 7211 patients into a group of objects, which are from 12 urban and rural hospitals’ Digestive outpatient department of Henan from December 2013 to June 2014.We choose 3422 cases of clinic diagnosed patients with bile reflux gastritis, ask them to fill out a detailed questionnaire which including symptoms, signs. According to the survey results, score the symptoms of patients with bile reflux gastritis. Then they’ll have been examined with electronic gastroscopy. From the above two steps