甲状腺功能减退症是否会影响胃肠道蠕动?
Does hypothyroidism affect gastrointestinal motility?
机构信息
Department of Nuclear Medicine, Faculty of Medicine, Pamukkale University, Doktorlar Caddesi no. 42, Denizli 20100, Turkey.
出版信息
Gastroenterol Res Pract. 2009;2009:529802. doi: 10.1155/2009/529802. Epub 2010 Mar 7.
BACKGROUND
Gastrointestinal motility and serum thyroid hormone levels are closely related. Our aim was to analyze whether there is a disorder in esophagogastric motor functions as a result of hypothyroidism.
MATERIALS AND METHODS
The study group included 30 females (mean age +/- SE 45.17 +/- 2.07 years) with primary hypothyroidism and 10 healthy females (mean age +/- SE 39.40 +/- 3.95 years). All cases underwent esophagogastric endoscopy and scintigraphy. For esophageal scintigraphy, dynamic imaging of esophagus motility protocol, and for gastric emptying scintigraphy, anterior static gastric images were acquired.
RESULTS
The mean esophageal transit time (52.56 +/- 4.07 sec for patients; 24.30 +/- 5.88 sec for controls; P = .02) and gastric emptying time (49.06 +/- 4.29 min for the hypothyroid group; 30.4 +/- 4.74 min for the control group; P = .01) were markedly increased in cases of hypothyroidism.
CONCLUSION
Hypothyroidism prominently reduces esophageal and gastric motor activity and can cause gastrointestinal dysfunction.
背景
胃肠道动力和血清甲状腺激素水平密切相关。我们的目的是分析甲状腺功能减退是否会导致食管胃运动功能紊乱。
材料和方法
研究组包括 30 名女性(平均年龄 +/- SE 45.17 +/- 2.07 岁)原发性甲状腺功能减退症患者和 10 名健康女性(平均年龄 +/- SE 39.40 +/- 3.95 岁)。所有病例均行食管胃内镜检查和闪烁显像。食管闪烁显像采用食管动力动态成像方案,胃排空闪烁显像采用前位静态胃图像。
结果
甲状腺功能减退症患者的平均食管通过时间(52.56 +/- 4.07 秒;对照组 24.30 +/- 5.88 秒;P =.02)和胃排空时间(49.06 +/- 4.29 分钟;对照组 30.4 +/- 4.74 分钟;P =.01)明显延长。
结论
甲状腺功能减退显著降低食管和胃动力,并可导致胃肠功能障碍。
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