一种用于记录小肠蠕动的新型便携式灌注测压系统。

A novel portable perfused manometric system for recording of small intestinal motility.

作者信息

Samsom M, Smout A J, Hebbard G, Fraser R, Omari T, Horowitz M, Dent J

机构信息

Gastrointestinal Motility Unit, University Hospital Utrecht, The Netherlands.

出版信息

Neurogastroenterol Motil. 1998 Apr;10(2):139-48. doi: 10.1046/j.1365-2982.1998.00093.x.

Abstract

The development of solid-state catheters with miniature pressure transducers and portable dataloggers with a large memory capacity has allowed recording of gastrointestinal motility in ambulant subjects. Developments in silicone rubber extrusion technology made it possible to build a perfused manometric system, using a perfused manometric assembly requiring a low volume of perfusate. In the present study the feasibility of recording and automated analysis of small intestinal motility using a perfused multiple lumen manometric system was evaluated in seven healthy volunteers. Pressures were recorded from 12 sideholes arranged in four clusters spaced at 10-cm intervals from the catheter tip. Each channel was perfused at 0.15 mL min-1 with degassed water by a portable, low-compliance, perfusion pump. The 12 sidehole recording channels were connected to external transducers mounted on a belt. Pressure data were stored in two dataloggers. Motility was recorded in the sitting (30 min), and supine (30 min) position, during walking (30 min) and postprandially (90 min). Using purpose-built software baseline variations were corrected for and manometric variables (number of pressure waves, mean amplitude and motility index) calculated. Bench testing of the manometric assembly showed a median baseline pressure offset of 4.2 kPa (range 3.7-10.1) and upon occlusion a rise rate of 27.8 kPa sec-1 (range 19.7-30.8). Changes in body position affected baseline pressures so that compared to the supine position changes in baseline pressure varied between 1.5 +/- 0.7 kPa and 1.9 +/- 0.6 kPa during sitting (P < 0.02), and between 1.7 +/- 0.7 kPa and 1.5 +/- 0.9 kPa during walking (P < 0.03). Manometric recordings obtained during the fasting period showed an increase in small intestinal motor activity during walking. In the postprandial period no differences in motility variables were observed within one cluster and in time. Recording of small intestinal motility with a multiple-channel silicone rubber manometric assembly with a portable perfusion system is a feasible technique which is relatively inexpensive. Computer-assisted data processing allows for adequate elimination of artefacts and automated numerical analysis.

摘要

带有微型压力传感器的固态导管以及具备大容量内存的便携式数据记录器的发展,使得在活动受试者中记录胃肠动力成为可能。硅橡胶挤压技术的发展使得构建一个灌注测压系统成为可能,该系统使用的灌注测压组件所需灌注液体积较小。在本研究中,对7名健康志愿者使用灌注多腔测压系统记录和自动分析小肠动力的可行性进行了评估。压力从12个侧孔记录,这些侧孔排列成四个簇,从导管尖端起每隔10厘米一个。每个通道由一个便携式、低顺应性的灌注泵以每分钟0.15毫升的速度用脱气水灌注。12个侧孔记录通道连接到安装在腰带上的外部传感器。压力数据存储在两个数据记录器中。在坐位(30分钟)、仰卧位(30分钟)、行走时(30分钟)和餐后(90分钟)记录动力。使用专门编写的软件校正基线变化并计算测压变量(压力波数量、平均振幅和动力指数)。测压组件的台架测试显示基线压力偏移中位数为4.2千帕(范围3.7 - 10.1),阻塞时上升速率为27.8千帕/秒(范围19.7 - 30.8)。身体位置的变化会影响基线压力,与仰卧位相比,坐位时基线压力变化在1.5±0.7千帕至1.9±0.6千帕之间(P < 0.02),行走时在1.7±0.7千帕至1.5±0.9千帕之间(P < 0.03)。禁食期获得的测压记录显示行走时小肠运动活性增加。在餐后期间,在一个簇内和不同时间未观察到动力变量的差异。使用带有便携式灌注系统的多通道硅橡胶测压组件记录小肠动力是一种可行的技术,且成本相对较低。计算机辅助数据处理能够充分消除伪迹并进行自动数值分析。

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