儿童功能性消化不良的胃胆囊液体排空功能研究  

Gastric liquid emptying and emptying of gallbladder in functional dyspepsia in children

作　　者：张艳玲[1] 张玉琳[1] 刘云 贾立英[1] 

机构地区：[1]首都儿科研究所内科

出　　处：《中华儿科杂志》1998年第11期658-660,共3页Chinese Journal of Pediatrics

摘　　要：目的了解功能性消化不良（ｆｕｎｃｔｉｏｎａｌｄｙｓｐｅｐｓｉａ，ＦＤ）患儿的胃和胆囊排空情况，探讨消化系统运动障碍与ＦＤ的关系。方法采用实时超声显像法检测２４例ＦＤ患儿（ＦＤ组）胃排空的同时检测餐后胆囊排空，并与２０例正常儿童胃排空及胆囊排空作比较（对照组）。结果空腹胃窦面积较对照组大，分别为（２７±０７）ｃｍ２与（２１±０９）ｃｍ２，Ｐ＜００５；在１２０ｍｉｎ时胃排空率ＦＤ组较对照组低，分别为［（５６８±１１５）ｍｉｎ，％］与［（６９９±１３８）ｍｉｎ，％］，Ｐ＜０．０１。胆囊排空率ＦＤ组比对照组略低，但两者差异无显著性（Ｐ＞０．０５）。结论ＦＤ患儿有胃排空障碍，胃动力改变是儿童ＦＤ的重要原因之一。Objective To investigate gastric emptying and motility of gallbladder in functional dyspepsia (FD) in children. Methods The emptying of postcibal stomach as well as postcibal gallbladder in 24 children with FD were studied using real time ultrasonography as compared with those of 20 normal controls. Results Area of precibal gastric antrum was larger than that of control group. Area of precibal gastric antrum was (2.7±0.7)cm 2 in the FD group and (2.1±0.9)cm 2 in the normal group ( P <0.05), the emptying rats of postcibal gastric antrum of FD children were lower than the control group at 120 min; the empeying rates of postcibal gastric antrum was [(56.8±11.5)min,%] in FD and [(69.9±13.8)min,%] in the normal group ( P <0.01). The emptying rates of gallbladder of FD children was lower and no obvious difference was seen as compared with normal controls ( P >0.05). Conclusion Delayed emptying of the stomach might cause FD in children.

关 键 词：消化不良 胃排空 胆囊排空 儿童 

分 类 号：R725.7[医药卫生—儿科] R723.12[医药卫生—临床医学]