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目的评价131IBSA作为胃固体排空标记物的稳定性和临床应用价值.方法以131IBSA和99mTcDTPA分别作为混合餐固、液体食物的标记物,检测35例慢性胃炎患者和10名健康志愿者的胃排空,其中2例受检者1周内进一步用99mTcSC复查固体排空,比较两次固体排空过程的相关性.在体外对上述3种放射性标记物在胃液、1mol/LNaCl和01mol/LHCl溶液中消化2h,检测其稳定性.结果131IBSA和99mTcSC标记的固体食物经消化后的脱标率分别<287%和463%,99mTcDTPA吸附于固相的吸附率<836%.固、液体排空曲线明显不同,固体排空有明显的延迟期,半排空时间较长,慢性胃炎患者固、液体排空时间均较正常对照组延长,两种固体标记物的排空曲线相似,相关性为r=0989(P<001),前、后两次排空相比,最大差值为92%,最小差值仅为08%.结论131IBSA固体标记物稳定性较好,可用于临床胃排空的检测.
Objective To evaluate the stability and clinical value of 131IBSA as a gastric emptying marker. Methods 131IBSA and 99mTcDTPA were respectively used as a solid food and liquid food marker to detect gastric emptying in 35 patients with chronic gastritis and 10 healthy volunteers. Two patients were further treated with 99mTc SC review of solid emptying, comparing the two solid emptying process correlation. The above three radioactive markers were digested in gastric juice, 1 mol / L NaCl and 0.1 mol / L HCl for 2 h in vitro, and their stability was tested. Results The decolorization rates of 131IBSA and 99mTcSC labeled solid food were <287% and 463%, respectively. The adsorption rate of 99mTcDTPA to the solid phase was <836%. Solid and liquid evacuation curves were significantly different, there was a clear delay of solid emptying, half-emptying a long time, chronic gastritis patients with liquid and liquid emptying time than the normal control group, the emptying curve of two solid markers Similarly, the correlation was r = 0989 (P <001). The maximum difference was 92% and the minimum difference was only 08% when compared with the two emptyings before and after emptying. Conclusion 131I BSA solid marker stability is good, can be used for clinical gastric emptying detection.