Analysis and nursing of 24 h esophageal pH-impedance and high resolution manometry for the patients with refractory gastroesophageal reflux disease
10.3760/cma.j.issn.1674-2907.2017.20.018
- VernacularTitle:难治性胃食管反流病患者24h食管pH-阻抗监测及高分辨食管压力测定结果分析及护理
- Author:
Muhong LI
1
;
Yimei LENG
;
Zihao GUO
;
Chuan ZHANG
Author Information
1. 100730,首都医科大学附属北京同仁医院消化内科
- Keywords:
Nursing care;
Refractory gastroesophageal reflux disease;
24 h esophageal pH-impedance monitoring;
High resolution manometry
- From:
Chinese Journal of Modern Nursing
2017;23(20):2645-2647
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze 24 h esophageal pH-impedance and high-resolution manometry for the patients with refractory gastroesophageal reflux disease, and provide evidence for the clinical diagnosis, treatment and nursing of these patients.Methods 24 h esophageal pH-impedance and high resolution manometry were measured and corresponding nursing measures were applied for the patients with refractory gastroesophageal reflux symptoms.Results A total of 115 in 118 patients successfully completed the examination with a success rate of 97.4%, and 90 (78.3%) of which showed abnormal in 24 h esophageal pH-impedance examination. High-resolution manometry showed that 83 patients (72.2%) had esophageal motility disorder.Conclusions Most patients with refractory gastroesophageal reflux disease have abnormal reflux and esophageal motility disorder. Skilled operative technique, detailed and comprehensive nursing are the guarantee to accomplish the examination.