Friesen Craig A, Lin Zhiyue, Schurman Jennifer Verril, Andre Linda, McCallum Richard W
Section of Gastroenterology, The Children's Mercy Hospital and Clinics, 2401 Gillham Road, Kansas City, Missouri 64108, USA.
Dig Dis Sci. 2006 Oct;51(10):1824-8. doi: 10.1007/s10620-006-9323-x.
The current study examined whether electrogastrogram (EGG) recordings obtained from healthy children would be considered normal by standards established for adults and whether EGG patterns differ between children/adolescents and adults. Twenty-eight healthy children (54% females; ages 8-17 years; mean = 12.4 years) were evaluated and compared to 15 healthy adults evaluated previously. EGGs were recorded for 30 min in the fasting state and for 1 hr following a standard meal. For both pediatric and adult participants, there was a significant increase in both the dominant frequency and the dominant power from the pre- to the postprandial period (P < 0.001 for each). Using adult standards, the percentage normal slow waves was > 70% of the recording time in 96% of children in the fasting state and in 100% in the postprandial period. A postprandial power increase was seen in 89% of the children. In conclusion, our data indicate that American Motility Society (AMS) consensus adult criteria for a normal EGG are appropriate to apply to children and adolescents when utilizing methodology and meal challenge similar to those used to establish the adult norms.
本研究探讨了根据成人标准，从健康儿童获得的胃电图（EGG）记录是否会被视为正常，以及儿童/青少年与成人的EGG模式是否存在差异。对28名健康儿童（54%为女性；年龄8 - 17岁；平均年龄 = 12.4岁）进行了评估，并与之前评估的15名健康成人进行了比较。在空腹状态下记录EGG 30分钟，并在标准餐后记录1小时。对于儿童和成人参与者，从餐前到餐后，主导频率和主导功率均显著增加（每项P < 0.001）。按照成人标准，在空腹状态下，96%的儿童正常慢波百分比在记录时间的70%以上，餐后为100%。89%的儿童餐后功率增加。总之，我们的数据表明，当采用与建立成人标准相似的方法和餐食激发时，美国动力协会（AMS）关于正常EGG的成人共识标准适用于儿童和青少年。
