Real Martínez Y, Ruiz de León A, Díaz-Rubio M
Servicio de Aparato Digestivo, Hospital Clínico Universitario San Carlos, Madrid, Spain.
Rev Esp Enferm Dig. 2001 Feb;93(2):87-95.
Cutaneous electrogastrography (cEGG) is a technique used for recording gastric electrical activity through electrodes placed on the abdominal skin. Given its increasing use for different pathologies, we decided to study its reliability (or reproducibility), that had never been appropriately assessed before.
Ambulatory cutaneous electrogastrogram was recorded after US location of the gastric antrum in 26 healthy volunteers with ages ranging from 20 to 60 years. cEGG was recorded during 60 minutes in fasting state and 60 minutes after a standard meal and it was repeated in a different day but under the same conditions.
ANOVA analysis showed significant individual differences regarding dominant frequency (DF) (p = 0.19) and power ratio (PR) (p = 0.11), and before and after the meal, except for DF (p = 0.12), dominant power (DP) (p = 0.59) and bradygastria (p = 0.09). No significant differences were found related to the day of the recording. The intra-observer agreement index showed a good agreement in the DF and the percentage of normogastria (0.91).
Currently, DF and normogastria percentage are the most reliable variables for the non-invasive study of gastric electric activity.
皮肤胃电图(cEGG)是一种通过放置在腹部皮肤上的电极记录胃电活动的技术。鉴于其在不同病症中的应用日益增加,我们决定研究其可靠性(或可重复性),此前从未对其进行过适当评估。
对26名年龄在20至60岁之间的健康志愿者在超声定位胃窦后进行动态皮肤胃电图记录。在空腹状态下记录60分钟的cEGG,在标准餐后记录60分钟,并在不同日期但相同条件下重复进行。
方差分析显示,除了胃动过缓(p = 0.09)外,关于主导频率(DF)(p = 0.19)和功率比(PR)(p = 0.11)以及餐前和餐后,个体差异显著,主导功率(DP)(p = 0.59)和胃动过缓(p = 0.09)。与记录日期无关未发现显著差异。观察者内一致性指数显示在DF和正常胃电图百分比方面具有良好的一致性(0.91)。
目前,DF和正常胃电图百分比是用于胃电活动无创研究的最可靠变量。