Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2024, Vol. 38 ›› Issue (6): 91-95.doi: 10.6040/j.issn.1673-3770.0.2024.098

• Clinical Research • Previous Articles    

Influence of body positions on laryngopharyngeal reflux disease

SUN Zhezhe1, WANG Gang1,2, WANG Lei1, LI Baowei1, HAN Haolun1, LIU Hongdan1, ZHANG Xiaoli1, WU Wei1,2   

  1. 1. Dapartment of Otolaryngology, the Ninth Medical Centerof Chinses PLA General Hospital;
    2. State Environmental Protection Key Laboratory of Environmental Sense Organ Stress and Health, Beijing 100101, China
  • Published:2024-12-13

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Abstract: Objective To explore the characteristics of different postural reflux patterns in laryngopharyngeal reflux disease. Methods In a retrospective study, we reviewed the clinical data of 987 patients with symptoms of LPRD from May 2016 to May 2023. According to the upright and supine Ryan index, patients with positive Ryan index were divided into upright-positive, supine-positive and double-positive groups, and the RSI, RFS and various reflux parameters of each group were compared. Statistical analysis was performed with SPSS 24.0. Results Among the 987 subjects, 288 cases were positive for Ryan index, of which 176 cases(61.1%)were upright positive, 47 cases(16.3%)were supine positive, and 65 cases(22.6%)were double positive. There was no statistically significant difference in gender and age among the groups, and there was no significant difference in RSI score and positive rate among the groups(P=0.29, P=0.345). The scores for the excess throat mucus or postnasal drip were higher in upright-positive group than in the supine-positive group(P=0.008). There was no significant difference in RFS scores and sub-items among the groups, but the positive rate of RFS in the double-positive group was higher than that in the supine-positive and upright-positive groups(P=0.009). Comparison of pH monitoring parameters showed that the percentage of reflux time, the number of refluxes, and the longest reflux time were significantly higher in the double-positive group than in the other two groups(P<0.001). The percentage of reflux time and the longest reflux time in the upright group were significantly shorter than those in the supine group(P<0.001), but there was no significant difference in the total number of refluxes between the two groups(P=0.357). Conclusion The upright reflux pattern is predominant in the LPRD patiens. Upright relux events are characterised by air-containing reflux and short duration. Upright reflux was less damaging to the mucosa, but could cause more serious subjective symptoms.

Key words: Laryngopharyngeal reflux, Gastroesophageal reflux, Posture, pH monitoring

CLC Number: 

  • R766.5
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