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一项关于非溃疡性消化不良患者胃排空的闪烁扫描研究。

A scintigraphic study on gastric emptying in patients with non-ulcer dyspepsia.

作者信息

Wang S, Cheng B, Wu H, Zheng Y, Hu J, Zhou J, Xianyu Z

机构信息

Department of Gastroenterology, Tongji Hospital, Tongji Medical University, Wuhan.

出版信息

J Tongji Med Univ. 1996;16(1):41-4. doi: 10.1007/BF02889043.

Abstract

Solid gastric emptying rates (GER) were determined with scintigraphic techniques in 20 patients with non-ulcer dyspepsia (NUD) and 9 healthy volunteers. GER were significantly decreased in NUD patients compared with controls, especially 45 min (P < 0.05), 60 and 90 min (P < 0.01) and 120 min (P < 0.05) after ingestion. In 13 out of 20 NUD patients who demonstrated lower GER, only 4 cases gave a lower GER at all stages throughout the determination, the other 9 showed their abnormal GER only after 60 min. In 3 cases who received repeated GER studies after cisapride therapy, 2 patients showed symptomatic relief accompanied by GER improvement. It is concluded that gastric emptying delay may be present with a high percentage in patients with non-ulcer dyspepsia. Scintigraphic gastric emptying test is a safe and reliable technique with good reproducibility. It may be helpful in quantitative study about gastric motion disorders.

摘要

采用闪烁扫描技术测定了20例非溃疡性消化不良(NUD)患者和9名健康志愿者的固体胃排空率(GER)。与对照组相比,NUD患者的GER显著降低,尤其是在摄入后45分钟(P < 0.05)、60和90分钟(P < 0.01)以及120分钟(P < 0.05)时。在20例GER较低的NUD患者中,只有4例在整个测定过程的所有阶段GER均较低,另外9例仅在60分钟后显示异常GER。在3例接受西沙必利治疗后进行重复GER研究的患者中,2例患者症状缓解且GER改善。结论是非溃疡性消化不良患者中胃排空延迟的比例可能很高。闪烁扫描胃排空试验是一种安全可靠、重复性好的技术。它可能有助于对胃运动障碍进行定量研究。

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