
睡前进食对夜间胃食管反流的影响
Food intake before going to bed and nighttime gastro-esophageal reflux
目的:胃食管反流的发病与多种因素有关,其中不良饮食习惯是重要的诱发因素之一。该文试图通过分析夜间食管pH检测的各项参数,探讨睡前进食对夜间胃食管反流的影响。方法:进行24 h胃食管反流监测的38例患儿,根据睡前2 h内是否进食分为进食组(A组n=16),未进食组(B组,n=22)。比较两组夜间反流次数、最长反流时间、持续时间>5 min的反流次数和pH<4的时间百分比。结果:A,B两组各项检测参数分别为①夜间总反流次:32(21.5-43.5) 和24(15-37.3)次;②最长反流时间:6.6( 2.4-29.8) min和4.5(2.5-13.2) min;③持续时间>5 min的反流次数:1.5( 0-3)和0(0-3)次; ④ pH<4的时间百分比:4.3%(2.1%-15.0%)和4.1%(2.0%-7.2%),两组比较均 P>0.05,差异均无显著性。结论:睡前非刺激性饮食对夜间反流无明显作用。[中国当代儿科杂志,2007,9(3):207-209]
OBJECTIVE: An unhealthy food consumption habit attributes to one of the etiology of gastro-esophageal reflux. The purpose of this article was to study the influence of food intake before going to bed on the nighttime gastro-esophageal reflux. METHODS: hirty-eight children with upper gastrointestinal symptoms were divided into two groups on the basis of taking (Group A, n=16) or not taking (Group B, n=22) food (non-stimulating) within 2 hrs before going to bed. All of them underwent 24 hr esophageal pH monitoring. The times of reflux episode, the longest duration of reflux, the times of reflux duration >5 min, and the percentage of time of pH<4 were compared between the two groups. RESULTS: There were no significant differences in the parameters of pH monitoring between Groups A and B, with the times of reflux episode of 32 (21.5-43.5) vs 24 (15-37.3) , the longest duration of reflux of 6.6 ( 2.4-29.8) min vs 4.5 (2.5-13.2) min, the times of reflux episode longer than 5 min of 1.5 ( 0-3) vs 0 (0-3), and the percentage of time of pH < 4 of 4.3 (2.1-15.0)% vs 4.1 (2.0-7.2)% . CONCLUSIONS: Non-stimulating food intake before going to bed did not adversely affect the nighttime gastro-esophageal reflux.[Chin J Contemp Pediatr, 2007, 9 (3):207-209]
Nighttime gastro esophageal reflux / Esophageal pH monitoring / Food intake before bed