Zhang K, Hu Y, Wang C D
Endoscopic Department, Anhui Provincial Hospital, Hefei.
Zhonghua Nei Ke Za Zhi. 1996 May;35(5):317-21.
Non-ulcer dyspepsia (NUD) is very common in community population. However, its pathogenesis was controversial, particularly with respect to motility disorder. In this study electrogastrogram (EGG) and gastric emptying rate (GER) by using SPECT technique (test meal labelled with 99mTc-PHY and 113In-DTPA) were carried out in healthy subjects and 27 NUD patients. In EGG examination, the authors first proposed four parameters, i.e. peak time (PT), return time (RT), degeneration rate (DR) and arrhythemia rate (AR). Comparison of EGG between NUD patients and controls showed that AR, RT, DR in NUD patients were significantly higher or longer than these in the controls (P > 0.05). Solid phase GET in NUD patients were significantly delayed than that in the controls. No significant correlation was found between EGG and GET. A delay gastric emptying cannot be predicted with EGG examination only.
非溃疡性消化不良(NUD)在社区人群中非常常见。然而,其发病机制存在争议,尤其是在动力障碍方面。在本研究中,对健康受试者和27例NUD患者进行了胃电图(EGG)检查以及使用SPECT技术(用99mTc - PHY和113In - DTPA标记试验餐)测定胃排空率(GER)。在EGG检查中,作者首次提出了四个参数,即峰值时间(PT)、恢复时间(RT)、退变率(DR)和心律失常率(AR)。NUD患者与对照组的EGG比较显示,NUD患者的AR、RT、DR显著高于或长于对照组(P>0.05)。NUD患者的固相胃排空明显比对照组延迟。EGG与胃排空之间未发现显著相关性。仅通过EGG检查无法预测胃排空延迟。