利用高分辨食管测压比较正常人吞咽液体食团及固体食团的食管动力学差异  

Comparison of esophageal motility between normal swallowing liquid food group and solid food group by high-resolution esophageal manometry

作　　者：邹莹莹[1] 黄颖[1] 刘梅娟[1] 程凤平[1] 吴嘉煖[1] 王莉慧[1] Zou Yingying, Huang Ying, Liu Meijuan, Cheng Fengping, Wu Jianuan, Wang Lihui(Department of Gastroenterology, Nan fang Hospital of Southern Medical University, Guangzhou, Guangdong 51051)

机构地区：[1]南方医科大学南方医院消化科内镜室,广东广州510515

出　　处：《护士进修杂志》2018年第13期1166-1169,共4页Journal of Nurses Training

摘　　要：目的探讨正常人吞咽液体食团及固体食团时的食管动力学差异。方法纳入2016年1-12月40名吞咽正常的志愿者进行高分辨食管测压,比较吞咽液体食团及固体食团时,食管动力学参数的差异。结果 (1)食管上括约肌动力学差异:吞咽液体食团时,松弛后残余压大于吞咽固体食团(P=0.000),松弛持续时间差异无统计学意义(P>0.05)。(2)食管体部动力学差异:吞咽液体食团时,食管全段蠕动波幅度显著低于吞咽固体食团(P=0.003);食管全段蠕动波传递速度快于吞咽固体食团(P=0.000);食管近段蠕动波持续时间慢于固体吞咽(P=0.002)。(3)下食管括约肌动力学差异:吞咽液体食团时松弛后残余压、松弛率以及松弛持续时间均大于吞咽固体食团(P<0.05)。结论两种食团吞咽在食管动力学参数上有差异有统计学意义,在临床中可为单独设立吞咽固体食团时的参考值提供依据。Objective To evaluate the difference of esophageal motility between normal swallowing liquid food group and solid food group.Methods A total of 40 normal volunteers were included in the high resolution esophageal manometry in 1-12 months of 2016 to compare the differences in esophageal motility between swallowing liquid and solid food groups.Results（1）Differences in motility of upper esophageal sphincter：the integrated relaxation pressure after swallowing liquid was greater than that of the swallowing solid mass（P=0.000）,and there were no statistical significance of the relaxation duration（P〉0.05）.（2）Differences in motility of the esophageal body：When swallowing liquid food group,the total esophageal peristaltic amplitude was significantly lower than that of swallowing solid food group（P=0.003）.The total peristaltic wave of the esophagus was faster than the swallowing solid food group（P=0.000）.The peristaltic wave duration of the esophagus was slower than that of solid swallowing（P=0.002）.（3）Differences in motility of lower esophageal sphincter：the integrated relaxation pressure,relaxation rate and laxity duration of swallowing liquid were greater than that of swallowing solid food group（P〈0.05）.Conclusion There is a significant difference between the two groups in the parameters of esophageal motility,and the reference value can be provided in the clinical setting.

关 键 词：高分辨食管测压 吞咽 食团 液体 固体 食管动力学 护理 

分 类 号：R571[医药卫生—消化系统]