超声胃功能检测诊断糖尿病胃轻瘫的临床研究  

The clinical study to diagnose the diabetic gastroparesis with ultrasonic examination of gastric function

作　　者：孙柏馨[1] 高晓军[1] 魏广玉[2] 张鹏宇 曲虹[1] 贾莉[1] 宋涛[1] Sun Baixin;Gao Xiaojun;Wei Guangyu;Zhang Pengyu;Qu Hong;Jia Li;Song Tao(Department of Ultrasound,Dalian Friendship Hospital,Dalian 116001,China)

机构地区：[1]辽宁大连市友谊医院超声科,大连116001 [2]辽宁大连市友谊医院内分泌科,大连116001 [3]天津市肿瘤医院检验科

出　　处：《中国临床保健杂志》2019年第1期86-89,共4页Chinese Journal of Clinical Healthcare

基　　金：国家自然科学基金(31370891);大连市卫计委科研项目资助课题(1511030)

摘　　要：目的探讨应用超声胃功能检测诊断糖尿病患者胃轻瘫的价值。方法 30例糖尿病患者及30例健康志愿者(对照组)饮用速溶超声助显剂500 m L后,测量其胃底及胃体横断面面积及胃窦内径,30 min、60min后重复以上测量,计算胃底及胃体面积缩小率及观测胃窦内径变化情况。结果胃底、胃体横断面面积及胃窦直径糖尿病组及对照组差异无统计学意义(P> 0. 05); 30 min、60 min后,糖尿病组胃底面积缩小率与胃体面积缩小率均小于对照组,两者差异有统计学意义(P <0. 05); 30 min、60 min后,胃窦内径在糖尿病组与对照组差异均无统计学意义(P> 0. 05)。结论糖尿病患者胃排空减慢,超声胃功能检测可以诊断糖尿病胃轻瘫。Objective To diagnose the diabetic gastroparesis with ultrasonic examination of gastric function.Methods The cross sectional area of fundus and body of stomach and diameter of antrum of stomach to 30 diabetics after they drank 500 mL instant gastric ultrasonic developer were measured,then the above measurement 30 min and 60 min later repeated respectively.The area reduce rates of fundus and body of stomach calculated and the inner diameter change of antrum of stomach observed.Thirty healthy volunteers were selected as controls.Results The cross sectional area of fundus and body of stomach and diameter of antrum of stomach were all similar between disease group and control group(P >0.05);after 30min and 60 min,the area reduce rates of fundus and body of stomach in disease group were all less than those in control group differently(P<0.05);the inner diameter of antrum of stomach was similar between disease group and control group after 30 min and 60 min(P >0.05).Conclusion Gastric emptying is delayed in diabetic patients.Abdominal ultrasound can help diagnose the diabetic gastroparesis with gastric ultrasonic developer.

关 键 词：糖尿病并发症 胃肌轻瘫 诊断技术 消化系统 超声检查 

分 类 号：R587.2[医药卫生—内分泌] R445.1[医药卫生—内科学]