To explore the effect of standardized nursing procedures on the quality of life and efficacy of patients with gastroesophageal reflux disease(GERD)in outpatient department.

The patients diagnosed with GERD from June 2016 to September 2016 in People′s Hospital Xinjiang Uygur Autonomous Region were randomly divided observation group(n=41)and control group(n=40). Observation group was treated with standardized nursing procedure, control group was treated with routine nursing procedure, compared two groups of patients with gastroesophageal reflux questionary(GERD-Q), compliance and satisfaction.

After 6 months follow-up, the observation group of GERD-Q score was(6.2±1.9), the control group of GERD-Q score was(7.9±2.2), there was statistical difference between two groups(P=0.028). Compliance of the patients was improved(P=0.000), the satisfaction of the observation group was significantly higher than the control group(P=0.012).

The standardized nursing can make patients get individualized and comprehensive nursing services, which can effectively improve the GERD treatment effect and the quality of life of patients and improve the psychological state of patients and compliance as well as the satisfaction of nursing staff.It is obviously worth for clinical application.

To investigate the effects of traditional Chinese medicine in refractory gastroesophageal reflux disease patients who failed in the PPI Treatment.

78 refractory GERD patients were diagnosed by their clinical symptoms and the corresponding herb medicine was prescribed.The objective exams of esophagus pressure, PH monitor, the scale scores were measured to evaluate the effect.

After 4 weeks treatment, effective rate of symptom remission was 85.8%(67/78). There were significant differences decrease in the pressure(P<0.05). The symptom scores improved after traditional Chinese medicine treatment.24-hour esophageal pH and DeMeester score before and after treatment indicate no significant difference.The resting pressure of the lower esophagus sphincter improved(P<0.05).

Chinese traditional medicine is helpful to GERD patients who failed with PPI.Herb medicine can be used as an alternative treatment in clinic.