枕与夜间反流症状的晚间质子抑制剂相比:一个非劣质性随机试验
Kanya Hirunrattanaporn1, Piyapan Prueksapanich1, Sutep Gonlachanvit1,2
1Division of Gastroenterology, Department of Medicine, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, The Thai Red Cross Society, Bangkok, Thailand.
Neurogastroenterology and motility
|February 3, 2026
概括
将枕添加到早晨的质子抑制剂 (PPI) 中,可以有效地控制夜间反流症状,与晚上PPI相比. 这种方法也显著改善了夜间GERD患者的睡眠质量.
科学领域:
- 胃肠病学 胃肠病学
- 睡眠医学 睡眠医学
- 医疗器械 医疗器械
背景情况:
- 质子抑制剂 (PPI) 是胃食道逆流症 (GERD) 的标准药物.
- 一些患者经历了持续的夜间反流症状,尽管早上PPI治疗.
- 耐火性夜间GERD需要替代或辅助治疗.
研究的目的:
- 为了比较枕与晚上PPI的疗效,作为夜间反流的上午PPI的辅助.
- 评估对反流症状,睡眠质量和患者报告结果的影响.
主要方法:
- 无劣性随机试验涉及患者夜间反流尽管早上PPI使用.
- 参与者被随机分配到形枕头或每天两次PPI,持续4周.
- 评估了夜间反流症状 (NGSSIQ),睡眠质量和24小时pH阻抗监测.
主要成果:
- 在夜间反流症症状严重程度方面,枕治疗与每天两次的PPI无差.
- 与每天两次PPI组相比,枕组的睡眠质量明显更好.
- 据报道,使用式枕头的患者满意度很高 (83.3%).
结论:
- 形枕头是一种可行的,非劣质的替代品,用于管理夜间反流症状的晚上PPI.
- 针枕使用在改善GERD患者的睡眠质量方面提供了额外的好处.
- 这项研究支持枕作为夜间GERD管理的有价值的非药物选择.
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