病毒性肝炎和肝炎肝硬化患者体表胃电图分析  

The clinical analysis on electrogastrogram in patients with hepatitis and liver cirrhosis

作　　者：陶明玲[1] 刘素珍[1] 金瑞[1] 

机构地区：[1]首都医科大学附属北京佑安医院,北京市100069

出　　处：《中华实验和临床感染病杂志（电子版）》2008年第2期44-47,共4页Chinese Journal of Experimental and Clinical Infectious Diseases(Electronic Edition)

摘　　要：目的研究胃电图在伴有胃动力障碍的肝病患者中应用的临床意义。方法选择急性肝炎(AH)、慢性活动性肝炎(CAH)、肝炎肝硬化(LC)患者各30例,经胃镜检查除外器质性疾病,进行体表胃电图检查。观察胃电主频率(DF)、主功率(DP)、胃电节律紊乱率(AR),比较分析3组患者各参数的差异。结果LC患者餐前、餐后DP显著降低,AR增加,CAH患者餐后DP较AH组降低,3组患者餐前、餐后DF无显著性差异。结论LC患者胃电图表现明显异常,可能与消化道症状和胃动力紊乱有关,对于指导临床治疗有一定意义。Objective To study the clinical use of electrogastrogram in patients with liver diseases accompanied by gastric dyskinesis.Methods Cutaneous electrogastrography was performed in 90 patients who were confirmed without organic diseases by gastroscopy.Of these patients,acute hepatitis(AH),chronic active hepatitis(CAH) and liver cirrhosis(LC) were 30,respectively.Dominant frequency(DF),dominant power(DP) and arrhythmia rate(AR) were compared and analyzed.Results In LC patients,DP was significantly lower than that of AH and CAH before and after test meal,while AR was higher.DP was significantly lower in CAH compared to AH after test meal.In addition,the difference of DF among three groups was not significant.Conclusions The electrogastrogram is abnormal in LC patients,which may probably be related with the upper gastrointestinal symptoms and gastric motility disorder.

关 键 词：肝病 胃电图 胃动力 

分 类 号：R512.6[医药卫生—内科学] R575.2[医药卫生—临床医学]