学术
摘 要:
目的探讨社区范围内胃食管反流病（gastroesophageal reflux disease，GERD）非药物干预的效果及可行性。方法将筛选出的280例用反流性疾病诊断问卷（耐信量表，RDQ）初步确诊为GERD的患者，分为三组，非药物干预组85例，药物干预组111例，对照组84例。收集病史资料，记录观察期间RDQ值的变化。结果三组间RDQ评分有显著性差异，药物干预组症状消失者停药半年后复发46例，占总药物治疗人数的41．44％．而非药物干预组症状消失者仅有2例复发，且程度较轻。结论从近期疗效看非药物干预及药物干预皆可明显控制症状，虽然药物治疗控制症状效果好于非药物干预。但从长远看存在费用高及复发率高的情况，提示在社区范围内控制GERD疾病非药物干预是一个有效的、经济可行的好方法。[著者文摘]
文章出处:
《北京医学》-2007年29卷10期 -607-609页
栏目信息:
分 类 号:
The effect and feasibility of non-drug intervention of the gastroesophageal reflux disease in community
DUA N Y ing-wei, WANG Jing-tong （Zhanlanlu Hospital, Beijing 100044）
Abstract:
objective To explore the effect and feasibility of non-drug intervention in gastroesophageal reflux disease （GERD） in community. Methods 280 patients diagnosed with Nexium RDQ were divided into three groups,the non-drug intervention group（n=85）, the drug intervention group（n=111）and the control group （n=84）. The data of these patients were collected and the clinical effect of Nexium RDQ was assessed. Results There was a significant difference on Nexium RDQ between the three groups. Forty-six cases had reccurrent in the drung intervention group and 2 cases had reccurrent in non-drug intervention group during half a year follow-up. Conclusions Both non-drug intervention and drug intervention can control the symptoms of GERD, although drug intervention is better than non-drug intervention. However in a long run drug intervention has a higher recurrence and is more expensive. So non-drug intervention is an effective and feasible method for the treatment of gastroesophageal reflux disease （GERD） in community.[著者文摘]
Key words:
Community Gastroesophageal reflux disease（GERD） Non-drug intervention
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