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目的:探讨运动障碍样型功能性消化不良患者症状、胃排空、胃电间的相关性。 方法:对42例功能性消化不良(FD)患者,30名健康对照者同时进行胃排空、胃电图检测;以FD患者中胃排空时间超过正常对照组(?)±1.96s者确定为运动障碍样型,共30例,询问其症状并记分。 结果:FD患者胃排空时间较对照组显著延长(P<0.01):运动障碍样型FD患者与健康对照者相比存在显著的胃电异常,餐后尤为明显;该型FD患者胃排空时间与症状总分呈显著的正相关性(r=0.7389,P<0.01),胃排空时间与餐后胃电正常节律百分比呈显著的负相关性(r=-0.4779,P<0.01),症状总分与餐后胃电正常节律百分比呈显著的负相关性(r=-0.4857,P<0.01)。 结论:运动障碍样型FD患者症状、胃排空、胃电间存在着显著的相关性。
Objective: To investigate the correlation between symptoms of dyspeptic patients with functional dyspepsia, gastric emptying and gastric electrical activity. Methods: Twenty-four patients with functional dyspepsia (FD) were enrolled in the study. Gastric emptying and electrogastrogram were performed simultaneously in 30 healthy controls. The patients with FD in whom the gastric emptying time exceeded ± 1.96 s in the normal control group For the movement disorder type, a total of 30 cases, asked about their symptoms and scoring. Results: The time of gastric emptying in FD patients was significantly longer than that in control group (P <0.01). There was significant abnormal gastric electrogastrogram in FD patients with dyskinesia compared with healthy controls, especially after meals. This type of FD patients had gastric emptying There was a significant positive correlation between time and symptom score (r = 0.7389, P <0.01), negative correlation between gastric emptying time and percentage of normal rhythm of postprandial EGG (r = -0.4779, P <0.01) The total symptom score was negatively correlated with the percentage of normal rhythm of postprandial gastric electrical activity (r = -0.4857, P <0.01). Conclusion: There is a significant correlation between symptoms of FD patients with dyskinesia, gastric emptying and gastric electrogastrogram.