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研究反流性食管炎 (RE)患者食管内pH值与胆汁反流的关系。RE患者 85例 ,应用便携式pH及胆汁监测仪同步监测食管下端 2 4hpH值及胆红素吸收值。结果发现 ,胃酸反流时 ,胆红素吸收值与pH值无相关性(r =- 0 .0 6 7,P >0 .0 5 ) ;胆汁反流时 ,食管内pH值与胆红素吸收值呈负相关性 (r=- 0 .2 76 ,P <0 .0 1)。可见 ,单纯监测食管下端pH值能反映是否有胃酸反流 ,但不能判断是否合并有十二指肠胃食管反流 ,根据食管下端 2 4hpH值监测判断有无胆汁反流是不科学的 ,还需同时监测食管下端胆红素吸收值。
To study the relationship between esophageal pH and bile reflux in patients with reflux esophagitis (RE). Eighty-five patients with RE were enrolled in this study. A 24 h pH and bilirubin value of the lower esophagus was monitored simultaneously using a portable pH and bile monitor. The results showed that there was no correlation between bilirubin absorption and pH when gastric acid reflux (r = - 0.67, P> 0.05) Absorbance was negatively correlated (r = -0.276, P <0.01). Visible, simply monitoring the esophageal pH value can reflect whether there is gastric acid reflux, but can not determine whether the merger of duodenal gastroesophageal reflux, according to the bottom of the esophagus to monitor the value of 24hpH to determine whether the bile reflux is unscientific, but also At the same time monitoring the lower esophageal bilirubin absorption value.