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首页> 外文期刊>The Laryngoscope: A Medical Journal for Clinical and Research Contributions in Otolaryngology, Head and Neck Medicine and Surgery, Facial Plastic and Reconstructive Surgery .. >A review of clinical practice guidelines for reflux disease: toward creating a clinical protocol for the otolaryngologist.
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A review of clinical practice guidelines for reflux disease: toward creating a clinical protocol for the otolaryngologist.

机译：返流性疾病的临床实践指南的综述：为耳鼻喉科医生制定临床方案。

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OBJECTIVES: Reflux disease, including gastroesophageal reflux disease (GERD) and laryngopharyngeal reflux (LPR), is an extremely common condition that is diagnosed and treated routinely in an otolaryngology practice. There is great variability in the methods of both diagnosis and treatment amongst otolaryngologists. Our aim is to review current clinical practice guidelines on reflux disease, to identify areas of agreement and controversy, and to begin to work toward a clinical protocol for reflux disease for the otolaryngologist. STUDY DESIGN: Literature review with discussion. METHODS: A PubMed search was performed looking for clinical practice guidelines on either GERD or LPR. Five hundred seventy articles were identified and the most clinically relevant practice guidelines were selected. RESULTS: Thirteen key articles were identified. Eleven of these come from the gastroenterology literature, and none of them come from the otolaryngology literature. There appears to be a consensus on empiric medication trial as first-line therapy for presumed uncomplicated GERD and on prioritizing early identification of patients with severe disease complications. Areas of controversy include the definition of GERD and LPR, which diagnostic algorithm to use in which patient, and the long-term management of medical therapy. CONCLUSIONS: Although there are many clinical aspects of reflux disease that still remain a mystery, there is enough literature to support a rudimentary clinical protocol at this time. As further data become available from outcomes measurements, such a protocol may result in improved quality and standardization.
机译：目的：包括胃食管反流病（GERD）和喉咽反流（LPR）在内的反流疾病是一种非常常见的疾病，在耳鼻喉科实践中会常规诊断和治疗。耳鼻喉科医生的诊断和治疗方法差异很大。我们的目的是回顾当前关于反流疾病的临床实践指南，确定共识和争议的领域，并开始为耳鼻喉科医生制定反流疾病的临床方案。研究设计：文献复习和讨论。方法：进行PubMed搜索以寻找关于GERD或LPR的临床实践指南。确定了570篇文章，并选择了最与临床相关的实践指南。结果：确定了13篇关键文章。其中有11个来自胃肠病学文献，而没有一个来自耳鼻喉科文学。对于经验性药物试验作为假定的单纯性GERD的一线治疗，以及优先重视早期发现有严重疾病并发症的患者，似乎已经达成共识。争议的领域包括GERD和LPR的定义，在哪个患者中使用哪种诊断算法以及药物治疗的长期管理。结论：尽管反流病的许多临床方面仍是一个谜，但目前有足够的文献支持基本的临床方案。随着从结果测量中获得更多数据，这种协议可能会提高质量和标准化。

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