Conclusion: 1. Heartburn is a common symptom in the digestive system, this symptom can be found in a variety of diseases, Common species of diseases can be divided into RE, NERD and FH,NERD and FH is heterogeneous diseases with different characteristics.2. Combined with esophageal pH monitoring, symptom index and PPI trial, NERD

subdivided into 3 subgroups: excessive acid exposure, normal acid exposure and positive SI, normal pH monitoring and negative SI but positive PPI trial, There were significant differences of the degree of esophageal acid exposure among 3 subgroups of NERD3. The degree of esophageal acid exposure of NERD group(pH+ or pH−) of significantly was higher than that of the FH group. Key selleckchem Word(s): 1. functional heartburn; 2. pH monitoring; 3. GERD; Presenting Author: QIAONI PANG Additional Authors: XIN WANG Corresponding Author: QIAONI PANG Affiliations: Xi-jing Hospital of Digestive Disease the

Fourth Military Medical University Objective: The clinical pathway (CP) was a treatment management with strict working sequence and precise time request for the monitoring, curing, recovering and nursing of a specific disease during a well-defined period of time. The clinical nursing pathway (CNP) is Belinostat chemical structure one of the most important departments of CP. The CNP included some series protocol program execution and feedback, and different from the curing. The option of the pathway was dependent on the CP implemented by the doctor inalienably. Currently, there’s a misunderstanding

that the CNP is absolutely independent of the clinical treatments, which can be explained that the CNP doesn’t combine with CP closely. Methods: In the present study, we developed a new method of CNP about nursing work, which was referred to the internal and international advanced experiments and adopted the ideology 上海皓元 of systematic standardization template. Based on “The Clinical Pathway of Adjuvant Chemotherapy for Gastric Cancer (ACGC)” (Version 2012), we divided the nursing works into four sections including education, assessment, observation and treatment for all four stages, and then each section was further divided into three procedures including universal, alternative and variation procedures. The new CNP strategy is composed of these procedures according to combination and optimization.