CAJ | 학술논문

目的：通过多导胃电图方法探讨幽门螺杆菌（HP）感染与功能性消化不良（FD）的关系。方法163例FD患儿，包括103例HP感染（A组）、60例无HP感染（B组），同时选22例无消化道症状患儿为对照组（C组）。3组均进行多导胃电图检测，包括正常慢波百分比（N%）、胃动过缓百分比（B%）、胃动过速百分比（T%）、胃动节律不齐百分比（A%），胃电频率及功率包括主频率（DF）及主功率（DP），餐后/餐前胃电主功率比（P/R），分析胃电描记数据。并对A组中84例治疗后HP转阴患儿的治疗前及治疗后胃电参数进行比较。结果 A组与B组比较，不同慢波频率的百分比差异餐后较餐前明显，餐前餐后DF、DP的变化均不明显。84例HP转阴患儿治疗前后比较，不同慢波频率的百分比改善不明显，但餐前餐后DF、DP及P/R改善均较明显。结论多导胃电图显示HP治疗对改善HP感染的FD患儿餐后症状有很大益处。
목적：통과다도위전도방법탐토유문라간균（HP）감염여공능성소화불량（FD）적관계。방법163례FD환인，포괄103례HP감염（A조）、60례무HP감염（B조），동시선22례무소화도증상환인위대조조（C조）。3조균진행다도위전도검측，포괄정상만파백분비（N%）、위동과완백분비（B%）、위동과속백분비（T%）、위동절률불제백분비（A%），위전빈솔급공솔포괄주빈솔（DF）급주공솔（DP），찬후/찬전위전주공솔비（P/R），분석위전묘기수거。병대A조중84례치료후HP전음환인적치료전급치료후위전삼수진행비교。결과 A조여B조비교，불동만파빈솔적백분비차이찬후교찬전명현，찬전찬후DF、DP적변화균불명현。84례HP전음환인치료전후비교，불동만파빈솔적백분비개선불명현，단찬전찬후DF、DP급P/R개선균교명현。결론다도위전도현시HP치료대개선HP감염적FD환인찬후증상유흔대익처。
Objective To explore the relationship between H.pylori (HP) infection and the functional dyspepsia (FD) by 4-lead electrogastrography (EGG). Methods The data of the gastric electrical activity of 163 children with FD, includ-ing 103 children with HP infection (group A), 60 without HP infection (group B) and 22 healthy controls (group C) were mea-sured by 4-lead EGG, which included normal slow wave percentage (N%), bradygastria percentage (B%), tachygastria per-centage (T%) and motilin uneven rhythm percentage (A%). EGG frequency and power examination included the main fre-quency (DF), the main power (DP) and postprandial/pre-prandial gastric electrical main power ratio (P/R). EGG data was compared between three groups. Results There was significant difference in pre-prandial and postprandial percentage of different slow wave frequency between group A and group B. There were no significant differences in pre-prandial and post-prandial changes of DF and DP between group A and group B. There was no significant difference in the pre-prandial and postprandial percentage change of different slow wave frequencies in 84 HP negative patients. But the significant change was found in pre-prandial and postprandial change of DF, DP and P/R. Conclusion The eradication of HP improved the gas-tric electrical activity and relieved the postprandial symptom in children with functional dyspepsia under HP infection.