浙江医学2017，Vol.39Issue(13)：1061-1063,3.DOI:10.12056/j.issn.1006-2785.2017.39.13.2017-1155
Dx-pH检测系统在小儿反复喘息性疾病中的应用价值
Application of Dx-pH detection system in children with recurrent wheezing
摘要
Abstract
Objective To assess the application of Dx-pH detection system in children with recurrent wheezing caused by laryngo-pharyngeal reflux (LPR).Methods Thirty children with recurrent wheezing (study group) and 30 healthy children (control group) were enrolled in the study.All subjects were examined by Dx-PH detection system,and graded by reflux finding score (RFS) and reflux symptoms index (RSI).The Ryan index and the incidence of LPR in standing and lying position of two groups were compared.Results The Ryan index in standing and lying position of study group were higher than those of control group (P＜0.05).The incidence of LPR in study group was significantly higher than that in control group (P＜0.05).The incidence of airway acid reflux in study group was 70.0％(14/20),and the incidence of airway alkaline reflux was 30.0％(6/20)(P＜0.05).With Ryan index score as gold standard,the sensitivity,specificity and accurate rate of RIS or RFS scores were 80.0％(16/20),20.0％ (2/10) and 60.0％(18/30),respectively.Conclusion The occurrence of LPR is closely correlated with wheezing in children,and airway acid reflux is mostly common.Dx-PH detection system can accurately detect the existence of LPR so as to decrease the misdiagnosis rate.关键词
咽喉反流/小儿喘息性疾病/pH检测Key words
Laryngo-pharyngeal reflux/Wheezing in children/pH detection引用本文复制引用
庞夏玲,冯燕华,谭杰,覃敏,黄丽莲,杨晓祥..Dx-pH检测系统在小儿反复喘息性疾病中的应用价值[J].浙江医学,2017,39(13):1061-1063,3.基金项目
广西壮族自治区卫生和计划生育委员会自筹经费科研课题(Z2016090) （Z2016090）
