北京医学
北京醫學
북경의학
BEIJING MEDICAL JOURNAL
2010年
3期
207-209
,共3页
肝硬化%胃电图%胃动力%胃电节律紊乱
肝硬化%胃電圖%胃動力%胃電節律紊亂
간경화%위전도%위동력%위전절률문란
Liver cirrhosis%Electrogastrogram(EGG)%Gastric dynamic%Gastric myoelectrical dysrhythmia
目的 探讨体表胃电图参数与消化道相关症状之间的联系. 方法 选择肝硬化患者62例,其中A级为18例;B级为24例;C级为20例.同时选择20例正常志愿者为对照组.胃电图检测记录包括空腹及进食试餐后不同慢波节律的百分比、主频(DF)、主功率(DP)、餐后/餐前功率比(PR)几项数据,进行对比分析.计量资料采用配对t检验和单因素方差分析;组间比较采用最小显著差法(LSD). 结果 ①健康组、肝硬化组DF分别为3.0±0.21 cpm、2.8±0.23 cpm;DP分别为46.35±5.19dB、43.71±3.47 dB;N%分别为49.23±12.71%、36.27±8.99%;PR分别为1.16±0.11、1.09±0.06.肝硬化组DF、DP、N%、PR平均值均低于对照组,有显著性差异.②肝硬化3组中N%分别为(41.08±5.96)%、(34.99±11.65)%、(33.48±5.59)%;Child-Pugh分级A级与B级、C级间有显著性差异.PR分别为1.12±0.02、1.09±0.04、1.05±0.07.Child-Pugh分级A、B、C三组中C级与A级间差异有统计学意义. 结论 ①肝硬化组较对照组相比其DF、N%、PR明显下降,提示肝硬化患者存在胃电节律紊乱.②Child-Pugh分级A、B、C级三组N%、PR依次降低,证明肝脏的损害越重,其胃电异常改变越明显.
目的 探討體錶胃電圖參數與消化道相關癥狀之間的聯繫. 方法 選擇肝硬化患者62例,其中A級為18例;B級為24例;C級為20例.同時選擇20例正常誌願者為對照組.胃電圖檢測記錄包括空腹及進食試餐後不同慢波節律的百分比、主頻(DF)、主功率(DP)、餐後/餐前功率比(PR)幾項數據,進行對比分析.計量資料採用配對t檢驗和單因素方差分析;組間比較採用最小顯著差法(LSD). 結果 ①健康組、肝硬化組DF分彆為3.0±0.21 cpm、2.8±0.23 cpm;DP分彆為46.35±5.19dB、43.71±3.47 dB;N%分彆為49.23±12.71%、36.27±8.99%;PR分彆為1.16±0.11、1.09±0.06.肝硬化組DF、DP、N%、PR平均值均低于對照組,有顯著性差異.②肝硬化3組中N%分彆為(41.08±5.96)%、(34.99±11.65)%、(33.48±5.59)%;Child-Pugh分級A級與B級、C級間有顯著性差異.PR分彆為1.12±0.02、1.09±0.04、1.05±0.07.Child-Pugh分級A、B、C三組中C級與A級間差異有統計學意義. 結論 ①肝硬化組較對照組相比其DF、N%、PR明顯下降,提示肝硬化患者存在胃電節律紊亂.②Child-Pugh分級A、B、C級三組N%、PR依次降低,證明肝髒的損害越重,其胃電異常改變越明顯.
목적 탐토체표위전도삼수여소화도상관증상지간적련계. 방법 선택간경화환자62례,기중A급위18례;B급위24례;C급위20례.동시선택20례정상지원자위대조조.위전도검측기록포괄공복급진식시찬후불동만파절률적백분비、주빈(DF)、주공솔(DP)、찬후/찬전공솔비(PR)궤항수거,진행대비분석.계량자료채용배대t검험화단인소방차분석;조간비교채용최소현저차법(LSD). 결과 ①건강조、간경화조DF분별위3.0±0.21 cpm、2.8±0.23 cpm;DP분별위46.35±5.19dB、43.71±3.47 dB;N%분별위49.23±12.71%、36.27±8.99%;PR분별위1.16±0.11、1.09±0.06.간경화조DF、DP、N%、PR평균치균저우대조조,유현저성차이.②간경화3조중N%분별위(41.08±5.96)%、(34.99±11.65)%、(33.48±5.59)%;Child-Pugh분급A급여B급、C급간유현저성차이.PR분별위1.12±0.02、1.09±0.04、1.05±0.07.Child-Pugh분급A、B、C삼조중C급여A급간차이유통계학의의. 결론 ①간경화조교대조조상비기DF、N%、PR명현하강,제시간경화환자존재위전절률문란.②Child-Pugh분급A、B、C급삼조N%、PR의차강저,증명간장적손해월중,기위전이상개변월명현.
Objective To research the relationship between EGG and the symptoms related to digestive system in those cases.Method We treated 62 patients,All cases were diagnosed as cirrhosis of the liver .according to Child-Pugh's score criterion，18 cases were classified as grade A，24 as B，and 20 as C，and 20 healthy volunteers..The indexes of EGG included Dominant frequeney (DF)，Dominant Power (DP)，percentage of normal electrogastric slow wave，the power ratio between empty and full，etc，in hunger and in repletion，respectively.With t-test and One way Analysis of Variance (ANOV) were employed in analyzing the measurement data.Results ①DF[(2.8±0.23 cpm)vs.(3.0±0.21 cpm)]，DP[(43.71±3.47 dB) vs.(46.35±5.19dB)]，N% [(36.27±8.99%) vs.(49.23±12.71%)]，and PR [(1.09±0.06) vs.(1.16±0.11)]are lower in cirrhotic patients than that of the normal controls (P＜0.05).②N% in Child-Pugh B patients (34.99±11.65%)and in Child-Pugh C (33.48±5.59%) are lower than that in Child-Pugh A (41.08±5.96%) (P＜0.05).PR in Child-Pugh C patients(1.05±0.07) are lower than that in Child-Pugh A (1.12±0.02) (P＜0.05).Conclusions ①DF，DP，N% and PR in cirrhotic patients are lower than that of the normal controls .Cirrhosis patients are in gastric myoelectrical dysrhythmia.②Abnormal gastric myoelectrical activity in cirrhosis is more obvious in those with more severe liver dysfunction.
