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糖尿病性胃轻瘫的管理

Management of diabetic gastroparesis.

作者信息

Mukhopadhyay Pradip, Basu A K

机构信息

Department of Endocrinology, Medical College, Kolkata.

出版信息

J Indian Med Assoc. 2005 Mar;103(3):184, 186.

Abstract

Diabetic gastroparesis is a long term complication of diabetes mellitus which could basically be defined as dysregulated gastric emptying leading to various pathological, biochemical and clinical changes in absence of any structural changes. Symptoms include nausea, vomiting, bloating, epigastric pain, anorexia, weight loss and so on. For symptomatic gastroparesis prokinetic drugs like metoclopramide, domperidone, cisapride, erythromycin and itcopride are used. Itopride is currently emerging as a prokinetic drug of choice. There is also scope of surgery.

摘要

糖尿病性胃轻瘫是糖尿病的一种长期并发症,基本上可定义为胃排空失调,在无任何结构改变的情况下导致各种病理、生化和临床变化。症状包括恶心、呕吐、腹胀、上腹部疼痛、厌食、体重减轻等。对于有症状的胃轻瘫,可使用促动力药物,如甲氧氯普胺、多潘立酮、西沙必利、红霉素和伊托必利。伊托必利目前正成为首选的促动力药物。手术治疗也有一定空间。

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