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中国胃食管反流病的诊疗进展
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作者 庄茜钧 江典轩 肖英莲 《中华胃食管反流病电子杂志》 2024年第2期75-80,共6页
胃食管反流病(GERD)是常见的慢性消化系统疾病。在中国,GERD的患病率高达8.7%。由于GERD临床表现多样化,其诊断对于临床医师是一大挑战。中国指南提出洛杉矶B级及以上食管炎或食管酸暴露百分比超过4%可确诊GERD。另外,尽管抑酸药物是GER... 胃食管反流病(GERD)是常见的慢性消化系统疾病。在中国,GERD的患病率高达8.7%。由于GERD临床表现多样化,其诊断对于临床医师是一大挑战。中国指南提出洛杉矶B级及以上食管炎或食管酸暴露百分比超过4%可确诊GERD。另外,尽管抑酸药物是GERD的一线治疗方式,但仍有高达50%的患者服药后症状无法有效缓解。药物治疗无效的患者通常选择接受内镜下抗反流手术,但是一部分患者术后仍需服用抗反流药物甚至接受二次手术以控制GERD症状。本文总结了目前中国GERD的诊断和治疗现状,为临床医师提供一定参考。 展开更多
关键词 胃食管反流病 诊断 治疗
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Current complementary and alternative therapy for gastroesophageal reflux disease
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作者 dianxuan jiang Qianjun Zhuang +4 位作者 Xingyu Jia Songfeng Chen Niandi Tan Mengyu Zhang Yinglian Xiao 《Gastroenterology Report》 SCIE CSCD 2023年第1期171-181,共11页
Gastroesophageal reflux disease(GERD)is a widely prevalent gastrointestinal disorder,affecting13.3%of the global population.There are shortages and limitations of current GERD treatment modalities,and complementary an... Gastroesophageal reflux disease(GERD)is a widely prevalent gastrointestinal disorder,affecting13.3%of the global population.There are shortages and limitations of current GERD treatment modalities,and complementary and alternative therapy(CAT)is a promising option to fill in the gap.Dietary and lifestyle modifications might play an important and complementary role in alleviating GERD symptoms.Traditional Chinese medicine and brain–gut behavior therapy,particularly transcutaneous electrical acustimulation and diaphragmatic breathing therapy were shown to be useful adjuncts or alternatives in treating GERD.CAT may help to relieve GERD symptoms,minimize medication dosage,and slow the demand for surgery.The aim of this review was to summarize the existing evidence of some common CATs in treating symptomatic GERD,including dietary modification,lifestyle change,traditional Chinese medicine,and brain–gut behavior therapy. 展开更多
关键词 GERD complementary therapies alternative therapies LIFESTYLE traditional Chinese medicine behavior intervention
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