Патогенетические механизмы и оптимизация терапии гастроэзофагеальной рефлюксной болезни — ассоциированных поражений полости рта
Диссертация
Риск развития ГЭР-ассоциированных поражений ротовой полости увеличивается при нарушениях желудочного опорожнения. В качестве возможной причины нарушения моторной деятельности желудка при ГЭРБ рассматривают расстройство его миоэлектрической активности, приводящее к нарушениям ритма (дизритмиям) и, как следствие, к снижению эффективности сокращений. Известно, что задержка опорожнения желудка может… Читать ещё >
Содержание
- Глава 1. Обзор литературы. Экстрапищеводное проявление гастрорефлюксной болезни — патология твердых и мягких тканей полости рта
- 1. 1. Взаимосвязь патологии твердых тканей зубов и желудочнокишечного тракта
- 1. 2. Эпидемиология заболеваний твердых тканей зубов, ЭЗ
- 1. 3. Проявления ГЭРБ в полости рта
- 1. 4. Определение некариозных повреждений поверхности твердых тканей зуба
- 1. 5. Этиологические и патогенетические аспекты некариозных поражений зубов
- 1. 5. 1. Эндогенные факторы
- 1. 5. 1. 1. Гастроэзофагеальная рефлюксная болезнь
- 1. 5. 1. 2. Bulimia nervosa
- 1. 5. 2. Экзогенные факторы
- 1. 5. 2. 1. Фактор питания
- 1. 5. 2. 2. Воздействие окружающей среды
- 1. 5. 2. 3. Применение лекарств
- 1. 5. 1. Эндогенные факторы
- 1. 6. Патогенез ГЭРБ — ассоциированных поражений твердых тканей зубов ЭЗ)
- 2. 1. Клиническая характеристика обследуемых больных
- 2. 1. 1. Общестатистические данные
- 2. 1. 2. Клинико-демографическая характеристика обследованных больных
- 2. 1. 3. Критерии включения
- 2. 1. 4. Критерии исключения
- 2. 2. Методы исследования
- 2. 2. 1. Опрос пациентов
- 2. 2. 2. Эзофагогастродуоденоскопия (ЭГДС)
- 2. 2. 3. Рентгенологическое исследование пищевода
- 2. 2. 4. Внутрипищеводная 24-часовая рН-метрия
- 2. 2. 5. Внутрипищеводная манометрия
- 2. 2. 6. 24-часовая электрогастрография
- 2. 3. Стоматологическое обследование
- 2. 4. Исследование эффективности терапии ГЭРБ
- 2. 5. Стоматологическое лечение больных с поражением твердых тканей рта и пародонта, ассоциированных с ГЭРБ
- 2. 6. Статистическая обработка полученных результатов
- 3. 1. Кпинико-демографические данные обследованных больных
- 3. 2. Результаты эндоскопического и рентгенологического исследования пищевода у обследованных больных
- 3. 3. Результаты 24-часового рН-метрического исследования у обследованных больных
- 3. 4. Результаты стационарного манометрического исследования у больных с ГЭРБ
- 3. 5. Результаты 24-часовой электрогастрографии у больных ГЭРБ и здоровых лиц
- 3. 6. Состояние твердых тканей зубов и пародонта у больных ГЭРБ, функциональной диспепсией и здоровых лиц
- 3. 7. Саливарная функция, буферная емкость и рН, уровень кальция и фосфора в слюне у больных ГЭРБ, функциональной диспепсией и здоровых лиц
- 4. 1. Динамика клинических проявлений у больных с ГЭРБ на фоне проводимой терапии
- 4. 2. Влияние терапии на показатели 24-часовой внутрипищеводной рН-метрии у больных с ГЭР-ассоциированной хроническим кашлем
- 4. 3. Влияние терапии на показатели стационарной манометрии пищевода у больных с ЭРБ
- 4. 4. Влияние терапии на показатели 24-часовой ЭГГ у больных с
- 4. 5. Влияние терапии на заживление повреждений у больных с
- 4. 6. Влияние медикаментозной терапии на состояние твердых тканей зубов и пародонта
- 4. 7. Стоматологическое лечение больных с поражением пародонта и твердых тканей зубов
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