肝硬化患者胃电图的变化及胃电起搏对其的治疗作用  

TO INVESTIGATE THE CHANGE OF ELECTROGASTROGRAM AND ESTIMATE THE FUNCTION OF GASTROINTESTIANL PACEMAKER IN TREATMENT OF GASTRIC DYNAMIC DISORDER IN PATIENTS WHTH CIRRHOSIS

作　　者：王旭霞[1] 王景杰[1] 赵曙光[1] 秦明[1] 杨琦[1] 雷巧玲[1] 张少玲[1] 

机构地区：[1]第四军医大学唐都医院,西安710038

出　　处：《肝胆外科杂志》2005年第6期439-441,共3页Journal of Hepatobiliary Surgery

摘　　要：目的分析肝硬化患者的胃电图变化及胃电起搏对肝硬化胃动力紊乱治疗的有效性。方法50例肝硬化胃动力紊乱患者随机分为2组,其中30例行胃肠起搏治疗,20例为对照组,治疗前后进行胃电图检查和症状评估。结果治疗组、对照组有效率分别为90%、45%具有显著性差异(P<0.05);治疗组治疗后胃电图餐前、餐后平均频率较治疗前明显改善(P<0.05),趋向正常;治疗后患者的症状明显改善。结论肝硬化患者胃蠕动和胃排空功能下降;胃肠起搏治疗可改善其临床症状和胃电生理的频率。Objective To analyze the change of electrogastrogram and estimate the efficacy of gastrointestinal pacemaker in treatment of gastric dynamic： disorder in patients whh cirrhosis. Methods Fifty patients were divided into two groups randomly. Thirty patients were treated with gastrointestinal pacemaker. Twenty patients were not treated with gastrointestinal pacemaker. Patients with gastric dynamic disorder were examined with EGG before and after gastric pacemaker and their symptoms were assessed simultaneously. Result Total efficacy of pacemaker group and control group was 90%,45% respectively. There was significant difference between them. Before and after meal EGG examination showed that average frequency was reversed to normal level after treatment with gastrointestinal pacemker（P〈0.05）. The symptoms of patients were also improved after treatment （P〈0. 05 ）. Conclusion Gastrointestinal pacemaker can relieve symptoms and improve the average frequency of EGG in patients of cirrhosi, with gastric dynamic disorder.

关 键 词：肝硬化 胃动力紊乱 胃肠起搏 胃电图 

分 类 号：R657.31[医药卫生—外科学]