糖尿病胃轻瘫病人胃电图与胃排空的关系  被引量:25

Relationship between Electrogastrography and Gastric Emptyingin Patients with Diabetic Gastroparesis

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作  者:杨春敏[1] 周吕[1] 徐文洁[1] 郝维[1] 曹传平 

机构地区:[1]中国医学科学院中国协和医科大学基础医学研究所生理研究室

出  处:《基础医学与临床》1998年第4期63-67,共5页Basic and Clinical Medicine

摘  要:为了观察体表胃电图(EGG)能否反映胃排空状态,对10例健康人和20例糖尿病胃轻瘫病人同时进行胃电图与胃固体排空检查。结果表明:糖尿病患者胃半排空时间(T1/2)为125.4±21.6min,健康人T1/2为85.2士10.3min,前者明显慢于后者(P<0.01)。EGG显示糖尿病胃轻瘫病人餐后/餐前振幅比值(ApR)明显低于健康人组(p<0.01),进餐前后胃节律紊乱率高于健康人(p<0.05)。糖尿病胃轻瘫病人EGG的ApR和胃节律紊乱率与胃固体排空呈明显相关关系(P<0.05)。结论:EGG能反映胃排空状态。In order to investigate whether cutaneous electrogastrography(EGG) could reflect gastric emptying,simultaneous measurements of EGG and gastric emptying time were performed in 10 cases of healthy subjects(HS) and 20 cases of patients with diabetic gastroparesis(DGP).The results showed that half gastric emptying time(TI/2) was 125.4±21.6 min in DGP,which was longer than that in HS (85.2±10.3 min)(p<0.01),the postprandial to fasting ratio of EGG amplitude(ApR) in DGP decreased significantly as compared with HS (p<0.01),and dysrhythmias rate of EGG was more prevalent in DGP than in HS(p<0.05).ApR and dysrhythmias rate of EGG were,respectively,significantly collerated with gastric emptying of solid in DGP.Conclusions:EGG can reflect gastric emptying in DGP,ApR and gastric dysrhythmias rate may represent useful,although indirect,indexes of gastric emptying.

关 键 词:胃电图 糖尿病 胃轻瘫 胃排空 

分 类 号:R587.1[医药卫生—内分泌] R573.39[医药卫生—内科学]

 

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