CAJ | 학술논문

目的通过调查分析糖尿病胃动力障碍症状流行病学调查中的诸因素与胃动力障碍发生的关系.方法 2003年3月至2004年1月从广州医学院附属第二医院糖尿病中心2万名门诊病人中随机选取符合入选条件的2 36)1名糖尿病患者作为调查对象.采用统一的流行病学调查表对患者进行问卷调查.根据调查结果将患者分为试验组与对照组.对糖尿病胃动力障碍的患病率及年龄、病史、消化道症状等与糖尿病胃动力障碍发生的关系进行分析.结果 (1)糖尿病胃动力障碍的患病率为53.65%;(2)试验组与对照组在胃纳不佳、早饱、嗳气、上腹痛、恶心、呕吐、餐后腹胀、便秘等症状方面均有显著性差异(P<0.01);(3)餐后腹胀这一因素对胃动力障碍发生的影响最大,其次为便秘、嗳气、胃纳不佳、旱饱、上腹痛,影响最小的是呕吐.结论胃纳不佳、早饱、餐后腹胀、嗳气、上腹痛、恶心、呕吐、便秘这些症状与糖尿病胃动力障碍的发生密切相关,在排除消化道病史及酮症酸中毒的情况下,应考虑并重视胃动力障碍这一并发症.
목적 통과조사분석당뇨병위동력장애증상류행병학조사중적제인소여위동력장애발생적관계.방법 2003년3월지2004년1월종엄주의학원부속제이의원당뇨병중심2만명문진병인중수궤선취부합입선조건적2 36)1명당뇨병환자작위조사대상.채용통일적류행병학조사표대환자진행문권조사.근거조사결과장환자분위시험조여대조조.대당뇨병위동력장애적환병솔급년령、병사、소화도증상등여당뇨병위동력장애발생적관계진행분석.결과 (1)당뇨병위동력장애적환병솔위53.65%;(2)시험조여대조조재위납불가、조포、애기、상복통、악심、구토、찬후복창、편비등증상방면균유현저성차이(P<0.01);(3)찬후복창저일인소대위동력장애발생적영향최대,기차위편비、애기、위납불가、한포、상복통,영향최소적시구토.결론 위납불가、조포、찬후복창、애기、상복통、악심、구토、편비저사증상여당뇨병위동력장애적발생밀절상관,재배제소화도병사급동증산중독적정황하,응고필병중시위동력장애저일병발증.
Objective To study the relationship between gastric motility disorder and various factors through the epidemiological survey of diabetes with gastric motility disorder.Methods 236 diabetics consistent with the condition are selected randomly from 20 thousand outpatients in Diabetes center of Second hospital affiliated Guangzhou Medical College from March,2003 to January,2OO4.Adopting unified epidemiological questionnaire to survey the diabetics who are divided into test group and control group according to research outcome.Analysing the relationship between gastric motility disorder and various factors,such as incidence of the disease,age,history and gastrointestinal symptoms through the epidemiological study of gastric motility disorder of diabetes.Results (1)The incidence of gastric motility disorder of diabetes is 53.65%;(2) There are significant difference(P<0.01) between the test group and control group in symptoms of anorexia,satiety in the morning,eructation,midsection pain,nausea,vomit,abdominal distention after meal,con-stipation etc.(3)Abdominal distension after meal is the greatest impact factor to gastric motility disorder of diabetes,followed by constipation,eructation,anorexia,satiety in the morning,midsection pain,vomiting is the least impact factor.Conclusion The symptoms,such as anorexia,satiety in the morning,eructation,midsection pain,nausea,vomit,abdominal distention after meal,constipation,are closely related to gastric motility disorder of diabetes.We should consider and attach importance to the complication of gastric motility disorder of diabetes after excluding gastrointestinal diseases and ketoacidosis.