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[胃电图(EGG)的频谱成分:正常受试者、癌症患者和溃疡患者的变异因素]

[The spectral component of electrogastrography (EGG): factors of variation in normal subjects, and in patients with cancer and ulcers].

作者信息

Giorgio I, Abbattista N, Lemaire M C, Pezzola F, Thouvenot J

机构信息

Istituto di Ricovero e Cura a caracttere scientifico, Specializzato in Gastroenterologia, Bari, Italia.

出版信息

Pathol Biol (Paris). 1989 Jun;37(6):712-9.

PMID:2780108
Abstract

A study of the spectral analysis of the electrogastrography has been mad in man in a non-invasive condition: normal subjects in two groups: young and old subjects (n = 72) were compared with gastric cancers (n = 42) and ulcerous (n = 22) subjects. Morning recording (10-11 h a.m.), in fasting conditions, were repeated every three successive days. In normal subjects, the mean frequency of the spectral gastric component is very stable (2.8 +/- 0.2 cycles per min), whatever be the sex, the age of the body weight. In normal subjects, the mean spectral amplitude (y) varied with the derivation: in derivation 3-6 (according to the antro-pyloric axis) is the greatest amplitude (y = 52 +/- 22 microV). In the cancerous condition, the range of the frequencies increases, but the mean frequency does not change (2.8 +/- 0.3 cycles per min). However, in 7 cancerous subjects the frequencies (x) fell beyond the limits of the population with an (x) being either less than or equal to 2.4 or greater than or equal to 3.2 cycles per min. In a great proportion (forty-seven per cent) of the cancerous subjects, an important and significant increase of amplitude is recorded (at least in one derivation). In these cases, the location of the cancer is the cardia, the fundus or the pylorus. The amplitudes fall significantly beyond those observed in ulcerous patients. The possible explanations of these variations and the applications to the future monitoring of patients are discussed.

摘要

在非侵入性条件下对人体胃电图进行了频谱分析研究

将两组正常受试者,即年轻组和老年组(n = 72)与胃癌患者(n = 42)及溃疡患者(n = 22)进行比较。在空腹状态下于上午10 - 11点进行记录,连续三天每天重复。在正常受试者中,无论性别、年龄或体重如何,胃频谱成分的平均频率非常稳定(2.8 +/- 0.2次/分钟)。在正常受试者中,平均频谱幅度(y)随导联不同而变化:在3 - 6导联(沿胃窦 - 幽门轴)幅度最大(y = 52 +/- 22微伏)。在癌症患者中,频率范围增加,但平均频率不变(2.8 +/- 0.3次/分钟)。然而,有7例癌症患者的频率(x)超出了正常人群范围,即x小于或等于2.4次/分钟或大于或等于3.2次/分钟。在很大比例(47%)的癌症患者中,记录到幅度显著增加(至少在一个导联)。在这些病例中,癌症位于贲门、胃底或幽门。这些幅度明显高于溃疡患者所观察到的幅度。文中讨论了这些变化的可能解释以及在未来患者监测中的应用。

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