Citation: LIU Yuzhi. 胃食管反流相關呼吸癥狀:從經驗性抑酸到精準評估. Chinese Journal of Respiratory and Critical Care Medicine, 2026, 25(8): 587-596. doi: 10.7507/1671-6205.202607013 Copy
Copyright ? the editorial department of Chinese Journal of Respiratory and Critical Care Medicine of West China Medical Publisher. All rights reserved
| 1. | Eusebi LH, Ratnakumaran R, Yuan Y, et al. Global prevalence of, and risk factors for, gastro-oesophageal reflux symptoms: a meta-analysis[J]. Gut, 2018, 67(3): 430-40. |
| 2. | VAKIL N, VAN ZANTEN S V, KAHRILAS P, et al. The Montreal definition and classification of gastroesophageal reflux disease: a global evidence-based consensus [J]. Am J Gastroenterol, 2006, 101(8): 1900-20; quiz 43. |
| 3. | KATZ P O, DUNBAR K B, SCHNOLL-SUSSMAN F H, et al. ACG Clinical Guideline for the Diagnosis and Management of Gastroesophageal Reflux Disease[J]. Am J Gastroenterol, 2022, 117(1): 27-56. |
| 4. | CHEN J W, VELA M F, PETERSON K A, et al. AGA Clinical Practice Update on the Diagnosis and Management of Extraesophageal Gastroesophageal Reflux Disease: Expert Review [J]. Clin Gastroenterol Hepatol, 2023, 21(6): 1414-21. e3. |
| 5. | KAHRILAS P J, ALTMAN K W, CHANG A B, et al. Chronic Cough Due to Gastroesophageal Reflux in Adults: CHEST Guideline and Expert Panel Report[J]. Chest, 2016, 150(6): 1341-60. |
| 6. | MORICE A H, MILLQVIST E, BIEKSIENE K, et al. ERS guidelines on the diagnosis and treatment of chronic cough in adults and children [J]. Eur Respir J, 2020, 55(1). |
| 7. | PARKER S M, SMITH J A, BIRRING S S, et al. British Thoracic Society Clinical Statement on chronic cough in adults [J]. Thorax, 2023, 78(Suppl 6): s3-s19. |
| 8. | IRWIN R S, FRENCH C L, CHANG A B, et al. Classification of Cough as a Symptom in Adults and Management Algorithms: CHEST Guideline and Expert Panel Report[J]. Chest, 2018, 153(1): 196-209. |
| 9. | GIBSON P, WANG G, MCGARVEY L, et al. Treatment of Unexplained Chronic Cough: CHEST Guideline and Expert Panel Report[J]. Chest, 2016, 149(1): 27-44. |
| 10. | 中華醫學會, 中華醫學會雜志社, 中華醫學會全科醫學分會, 等. 中國咳嗽基層診療與管理指南(2024年)[J]. 中華全科醫師雜志, 2024, 23(8): 793-812. |
| 11. | GYAWALI C P, KAHRILAS P J, SAVARINO E, et al. Modern diagnosis of GERD: the Lyon Consensus[J]. Gut, 2018, 67(7): 1351-62. |
| 12. | GYAWALI C P, YADLAPATI R, FASS R, et al. Updates to the modern diagnosis of GERD: Lyon consensus 2.0 [J]. Gut, 2024, 73(2): 361-71. |
| 13. | GYAWALI C P, CARLSON D A, CHEN J W, et al. ACG Clinical Guidelines: Clinical Use of Esophageal Physiologic Testing[J]. Am J Gastroenterol, 2020, 115(9): 1412-28. |
| 14. | YADLAPATI R, GYAWALI C P, PANDOLFINO J E. AGA Clinical Practice Update on the Personalized Approach to the Evaluation and Management of GERD: Expert Review [J]. Clin Gastroenterol Hepatol, 2022, 20(5): 984-94. e1. |
| 15. | LECHIEN J R, AKST L M, HAMDAN A L, et al. Evaluation and Management of Laryngopharyngeal Reflux Disease: State of the Art Review[J]. Otolaryngol Head Neck Surg, 2019, 160(5): 762-82. |
| 16. | LECHIEN J R, SAUSSEZ S, SCHINDLER A, et al. Clinical outcomes of laryngopharyngeal reflux treatment: A systematic review and meta-analysis[J]. Laryngoscope, 2019, 129(5): 1174-87. |
| 17. | LI N, CHEN Q, WEN S, et al. Diagnostic accuracy of multichannel intraluminal impedance-pH monitoring for gastroesophageal reflux-induced chronic cough [J]. Chron Respir Dis, 2021, 18: 14799731211006682. |
| 18. | CHUNG K F, MCGARVEY L, MAZZONE S B. Chronic cough as a neuropathic disorder[J]. Lancet Respir Med, 2013, 1(5): 414-22. |
| 19. | MORICE A H, MILLQVIST E, BELVISI M G, et al. Expert opinion on the cough hypersensitivity syndrome in respiratory medicine[J]. Eur Respir J, 2014, 44(5): 1132-48. |
| 20. | CHAN W W, SHARMA N, GYAWALI C P. The Role of Gastroesophageal Reflux in Airway Inflammation[J]. Am J Gastroenterol, 2025, 120(1): 60-4. |
| 21. | BONNANS C, FUKUNAGA K, LEVY M A, et al. Lipoxin A(4) regulates bronchial epithelial cell responses to acid injury[J]. Am J Pathol, 2006, 168(4): 1064-72. |
| 22. | CHOI Y S, NA H G, BAE C H, et al. Pepsin exposure in a non-acidic environment upregulates mucin 5AC (MUC5AC) expression via matrix metalloproteinase 9 (MMP9)/nuclear factor κB (NF-κB) in human airway epithelial cells[J]. Int Forum Allergy Rhinol, 2021, 11(5): 894-901. |
| 23. | ALDHAHRANI A, VERDON B, WARD C, et al. Effects of bile acids on human airway epithelial cells: implications for aerodigestive diseases [J]. ERJ Open Res, 2017, 3(1). |
| 24. | WANG J, ZHAO Y, REN J, et al. Pepsin in saliva as a diagnostic biomarker in laryngopharyngeal reflux: a meta-analysis[J]. Eur Arch Otorhinolaryngol, 2018, 275(3): 671-8. |
| 25. | HAYAT J O, GABIETA-SOMNEZ S, YAZAKI E, et al. Pepsin in saliva for the diagnosis of gastro-oesophageal reflux disease[J]. Gut, 2015, 64(3): 373-80. |
| 26. | DECALMER S, STOVOLD R, HOUGHTON L A, et al. Chronic cough: relationship between microaspiration, gastroesophageal reflux, and cough frequency[J]. Chest, 2012, 142(4): 958-64. |
| 27. | BLONDEAU K, MERTENS V, VANAUDENAERDE B A, et al. Gastro-oesophageal reflux and gastric aspiration in lung transplant patients with or without chronic rejection[J]. Eur Respir J, 2008, 31(4): 707-13. |
| 28. | KRAUSE A J, YADLAPATI R. Review article: Diagnosis and management of laryngopharyngeal reflux[J]. Aliment Pharmacol Ther, 2024, 59(5): 616-31. |
| 29. | SMITH J A, DECALMER S, KELSALL A, et al. Acoustic cough-reflux associations in chronic cough: potential triggers and mechanisms[J]. Gastroenterology, 2010, 139(3): 754-62. |
| 30. | RYAN N M, BIRRING S S, GIBSON P G. Gabapentin for refractory chronic cough: a randomised, double-blind, placebo-controlled trial[J]. Lancet, 2012, 380(9853): 1583-9. |
| 31. | VERTIGAN A E, KAPELA S L, RYAN N M, et al. Pregabalin and Speech Pathology Combination Therapy for Refractory Chronic Cough: A Randomized Controlled Trial[J]. Chest, 2016, 149(3): 639-48. |
| 32. | MCGARVEY L P, BIRRING S S, MORICE A H, et al. Efficacy and safety of gefapixant, a P2X(3) receptor antagonist, in refractory chronic cough and unexplained chronic cough (COUGH-1 and COUGH-2): results from two double-blind, randomised, parallel-group, placebo-controlled, phase 3 trials[J]. Lancet, 2022, 399(10328): 909-23. |
| 33. | SMITH J A, KITT M M, BUTERA P, et al. Gefapixant in two randomised dose-escalation studies in chronic cough [J]. Eur Respir J, 2020, 55(3). |
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| 37. | RAGHU G, REMY-JARDIN M, RICHELDI L, et al. Idiopathic Pulmonary Fibrosis (an Update) and Progressive Pulmonary Fibrosis in Adults: An Official ATS/ERS/JRS/ALAT Clinical Practice Guideline[J]. Am J Respir Crit Care Med, 2022, 205(9): e18-e47. |
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| 39. | KLOMPAS M, BRANSON R, CAWCUTT K, et al. Strategies to prevent ventilator-associated pneumonia, ventilator-associated events, and nonventilator hospital-acquired pneumonia in acute-care hospitals: 2022 Update[J]. Infect Control Hosp Epidemiol, 2022, 43(6): 687-713. |
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| 46. | RASCON-AGUILAR I E, PAMER M, WLUDYKA P, et al. Role of gastroesophageal reflux symptoms in exacerbations of COPD[J]. Chest, 2006, 130(4): 1096-101. |
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- 1. Eusebi LH, Ratnakumaran R, Yuan Y, et al. Global prevalence of, and risk factors for, gastro-oesophageal reflux symptoms: a meta-analysis[J]. Gut, 2018, 67(3): 430-40.
- 2. VAKIL N, VAN ZANTEN S V, KAHRILAS P, et al. The Montreal definition and classification of gastroesophageal reflux disease: a global evidence-based consensus [J]. Am J Gastroenterol, 2006, 101(8): 1900-20; quiz 43.
- 3. KATZ P O, DUNBAR K B, SCHNOLL-SUSSMAN F H, et al. ACG Clinical Guideline for the Diagnosis and Management of Gastroesophageal Reflux Disease[J]. Am J Gastroenterol, 2022, 117(1): 27-56.
- 4. CHEN J W, VELA M F, PETERSON K A, et al. AGA Clinical Practice Update on the Diagnosis and Management of Extraesophageal Gastroesophageal Reflux Disease: Expert Review [J]. Clin Gastroenterol Hepatol, 2023, 21(6): 1414-21. e3.
- 5. KAHRILAS P J, ALTMAN K W, CHANG A B, et al. Chronic Cough Due to Gastroesophageal Reflux in Adults: CHEST Guideline and Expert Panel Report[J]. Chest, 2016, 150(6): 1341-60.
- 6. MORICE A H, MILLQVIST E, BIEKSIENE K, et al. ERS guidelines on the diagnosis and treatment of chronic cough in adults and children [J]. Eur Respir J, 2020, 55(1).
- 7. PARKER S M, SMITH J A, BIRRING S S, et al. British Thoracic Society Clinical Statement on chronic cough in adults [J]. Thorax, 2023, 78(Suppl 6): s3-s19.
- 8. IRWIN R S, FRENCH C L, CHANG A B, et al. Classification of Cough as a Symptom in Adults and Management Algorithms: CHEST Guideline and Expert Panel Report[J]. Chest, 2018, 153(1): 196-209.
- 9. GIBSON P, WANG G, MCGARVEY L, et al. Treatment of Unexplained Chronic Cough: CHEST Guideline and Expert Panel Report[J]. Chest, 2016, 149(1): 27-44.
- 10. 中華醫學會, 中華醫學會雜志社, 中華醫學會全科醫學分會, 等. 中國咳嗽基層診療與管理指南(2024年)[J]. 中華全科醫師雜志, 2024, 23(8): 793-812.
- 11. GYAWALI C P, KAHRILAS P J, SAVARINO E, et al. Modern diagnosis of GERD: the Lyon Consensus[J]. Gut, 2018, 67(7): 1351-62.
- 12. GYAWALI C P, YADLAPATI R, FASS R, et al. Updates to the modern diagnosis of GERD: Lyon consensus 2.0 [J]. Gut, 2024, 73(2): 361-71.
- 13. GYAWALI C P, CARLSON D A, CHEN J W, et al. ACG Clinical Guidelines: Clinical Use of Esophageal Physiologic Testing[J]. Am J Gastroenterol, 2020, 115(9): 1412-28.
- 14. YADLAPATI R, GYAWALI C P, PANDOLFINO J E. AGA Clinical Practice Update on the Personalized Approach to the Evaluation and Management of GERD: Expert Review [J]. Clin Gastroenterol Hepatol, 2022, 20(5): 984-94. e1.
- 15. LECHIEN J R, AKST L M, HAMDAN A L, et al. Evaluation and Management of Laryngopharyngeal Reflux Disease: State of the Art Review[J]. Otolaryngol Head Neck Surg, 2019, 160(5): 762-82.
- 16. LECHIEN J R, SAUSSEZ S, SCHINDLER A, et al. Clinical outcomes of laryngopharyngeal reflux treatment: A systematic review and meta-analysis[J]. Laryngoscope, 2019, 129(5): 1174-87.
- 17. LI N, CHEN Q, WEN S, et al. Diagnostic accuracy of multichannel intraluminal impedance-pH monitoring for gastroesophageal reflux-induced chronic cough [J]. Chron Respir Dis, 2021, 18: 14799731211006682.
- 18. CHUNG K F, MCGARVEY L, MAZZONE S B. Chronic cough as a neuropathic disorder[J]. Lancet Respir Med, 2013, 1(5): 414-22.
- 19. MORICE A H, MILLQVIST E, BELVISI M G, et al. Expert opinion on the cough hypersensitivity syndrome in respiratory medicine[J]. Eur Respir J, 2014, 44(5): 1132-48.
- 20. CHAN W W, SHARMA N, GYAWALI C P. The Role of Gastroesophageal Reflux in Airway Inflammation[J]. Am J Gastroenterol, 2025, 120(1): 60-4.
- 21. BONNANS C, FUKUNAGA K, LEVY M A, et al. Lipoxin A(4) regulates bronchial epithelial cell responses to acid injury[J]. Am J Pathol, 2006, 168(4): 1064-72.
- 22. CHOI Y S, NA H G, BAE C H, et al. Pepsin exposure in a non-acidic environment upregulates mucin 5AC (MUC5AC) expression via matrix metalloproteinase 9 (MMP9)/nuclear factor κB (NF-κB) in human airway epithelial cells[J]. Int Forum Allergy Rhinol, 2021, 11(5): 894-901.
- 23. ALDHAHRANI A, VERDON B, WARD C, et al. Effects of bile acids on human airway epithelial cells: implications for aerodigestive diseases [J]. ERJ Open Res, 2017, 3(1).
- 24. WANG J, ZHAO Y, REN J, et al. Pepsin in saliva as a diagnostic biomarker in laryngopharyngeal reflux: a meta-analysis[J]. Eur Arch Otorhinolaryngol, 2018, 275(3): 671-8.
- 25. HAYAT J O, GABIETA-SOMNEZ S, YAZAKI E, et al. Pepsin in saliva for the diagnosis of gastro-oesophageal reflux disease[J]. Gut, 2015, 64(3): 373-80.
- 26. DECALMER S, STOVOLD R, HOUGHTON L A, et al. Chronic cough: relationship between microaspiration, gastroesophageal reflux, and cough frequency[J]. Chest, 2012, 142(4): 958-64.
- 27. BLONDEAU K, MERTENS V, VANAUDENAERDE B A, et al. Gastro-oesophageal reflux and gastric aspiration in lung transplant patients with or without chronic rejection[J]. Eur Respir J, 2008, 31(4): 707-13.
- 28. KRAUSE A J, YADLAPATI R. Review article: Diagnosis and management of laryngopharyngeal reflux[J]. Aliment Pharmacol Ther, 2024, 59(5): 616-31.
- 29. SMITH J A, DECALMER S, KELSALL A, et al. Acoustic cough-reflux associations in chronic cough: potential triggers and mechanisms[J]. Gastroenterology, 2010, 139(3): 754-62.
- 30. RYAN N M, BIRRING S S, GIBSON P G. Gabapentin for refractory chronic cough: a randomised, double-blind, placebo-controlled trial[J]. Lancet, 2012, 380(9853): 1583-9.
- 31. VERTIGAN A E, KAPELA S L, RYAN N M, et al. Pregabalin and Speech Pathology Combination Therapy for Refractory Chronic Cough: A Randomized Controlled Trial[J]. Chest, 2016, 149(3): 639-48.
- 32. MCGARVEY L P, BIRRING S S, MORICE A H, et al. Efficacy and safety of gefapixant, a P2X(3) receptor antagonist, in refractory chronic cough and unexplained chronic cough (COUGH-1 and COUGH-2): results from two double-blind, randomised, parallel-group, placebo-controlled, phase 3 trials[J]. Lancet, 2022, 399(10328): 909-23.
- 33. SMITH J A, KITT M M, BUTERA P, et al. Gefapixant in two randomised dose-escalation studies in chronic cough [J]. Eur Respir J, 2020, 55(3).
- 34. SHEPHERD K L, JAMES A L, MUSK A W, et al. Gastro-oesophageal reflux symptoms are related to the presence and severity of obstructive sleep apnoea [J]. J Sleep Res, 2011, 20(1 Pt 2): 241-9.
- 35. REDDEL H K, BACHARIER L B, BATEMAN E D, et al. Global Initiative for Asthma Strategy 2021: Executive Summary and Rationale for Key Changes[J]. Am J Respir Crit Care Med, 2022, 205(1): 17-35.
- 36. AGUSTí A, CELLI B R, CRINER G J, et al. Global Initiative for Chronic Obstructive Lung Disease 2023 Report: GOLD Executive Summary [J]. Eur Respir J, 2023, 61(4).
- 37. RAGHU G, REMY-JARDIN M, RICHELDI L, et al. Idiopathic Pulmonary Fibrosis (an Update) and Progressive Pulmonary Fibrosis in Adults: An Official ATS/ERS/JRS/ALAT Clinical Practice Guideline[J]. Am J Respir Crit Care Med, 2022, 205(9): e18-e47.
- 38. GREEN B T, BROUGHTON W A, O'CONNOR J B. Marked improvement in nocturnal gastroesophageal reflux in a large cohort of patients with obstructive sleep apnea treated with continuous positive airway pressure[J]. Arch Intern Med, 2003, 163(1): 41-5.
- 39. KLOMPAS M, BRANSON R, CAWCUTT K, et al. Strategies to prevent ventilator-associated pneumonia, ventilator-associated events, and nonventilator hospital-acquired pneumonia in acute-care hospitals: 2022 Update[J]. Infect Control Hosp Epidemiol, 2022, 43(6): 687-713.
- 40. FLORIA D E, OBEIDAT M, KáVáSI S B, et al. Systematic review and meta-analysis: proton pump inhibitors slightly decrease the severity of chronic cough[J]. Sci Rep, 2024, 14(1): 11956.
- 41. MASTRONARDE J G, ANTHONISEN N R, CASTRO M, et al. Efficacy of esomeprazole for treatment of poorly controlled asthma[J]. N Engl J Med, 2009, 360(15): 1487-99.
- 42. HOLBROOK J T, WISE R A, GOLD B D, et al. Lansoprazole for children with poorly controlled asthma: a randomized controlled trial[J]. Jama, 2012, 307(4): 373-81.
- 43. ZHENG Z, LUO Y, LI J, et al. Randomised trials of proton pump inhibitors for gastro-oesophageal reflux disease in patients with asthma: an updated systematic review and meta-analysis[J]. BMJ Open, 2021, 11(8): e043860.
- 44. LEE A L, GOLDSTEIN R S. Gastroesophageal reflux disease in COPD: links and risks[J]. Int J Chron Obstruct Pulmon Dis, 2015, 10: 1935-49.
- 45. TERADA K, MURO S, SATO S, et al. Impact of gastro-oesophageal reflux disease symptoms on COPD exacerbation[J]. Thorax, 2008, 63(11): 951-5.
- 46. RASCON-AGUILAR I E, PAMER M, WLUDYKA P, et al. Role of gastroesophageal reflux symptoms in exacerbations of COPD[J]. Chest, 2006, 130(4): 1096-101.
- 47. MCDONNELL M J, ALIBERTI S, GOEMINNE P C, et al. Comorbidities and the risk of mortality in patients with bronchiectasis: an international multicentre cohort study[J]. Lancet Respir Med, 2016, 4(12): 969-79.
- 48. POLVERINO E, GOEMINNE P C, MCDONNELL M J, et al. European Respiratory Society guidelines for the management of adult bronchiectasis [J]. Eur Respir J, 2017, 50(3).
- 49. LEE J S, RYU J H, ELICKER B M, et al. Gastroesophageal reflux therapy is associated with longer survival in patients with idiopathic pulmonary fibrosis[J]. Am J Respir Crit Care Med, 2011, 184(12): 1390-4.
- 50. KREUTER M, SPAGNOLO P, WUYTS W, et al. Antacid Therapy and Disease Progression in Patients with Idiopathic Pulmonary Fibrosis Who Received Pirfenidone[J]. Respiration, 2017, 93(6): 415-23.
- 51. RAGHU G, PELLEGRINI C A, YOW E, et al. Laparoscopic anti-reflux surgery for the treatment of idiopathic pulmonary fibrosis (WRAP-IPF): a multicentre, randomised, controlled phase 2 trial[J]. Lancet Respir Med, 2018, 6(9): 707-14.
- 52. HUA F, XIE H, WORTHINGTON H V, et al. Oral hygiene care for critically ill patients to prevent ventilator-associated pneumonia[J]. Cochrane Database Syst Rev, 2016, 10(10): Cd008367.
- 53. BELAFSKY P C, POSTMA G N, KOUFMAN J A. The validity and reliability of the reflux finding score (RFS)[J]. Laryngoscope, 2001, 111(8): 1313-7.
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