中国医疗前沿
中國醫療前沿
중국의료전연
CHINA HEALTHCARE INNOVATION
2013年
14期
36-36,37
,共2页
2型糖尿病%胃十二指肠测压%消化间期移行性复合运动
2型糖尿病%胃十二指腸測壓%消化間期移行性複閤運動
2형당뇨병%위십이지장측압%소화간기이행성복합운동
Type 2 diabetes mellitus%Interdigestive gastrointestinal manometry%Migrating motor complex
目的观察2型糖尿病患者消化间期胃肠运动的特征。方法选取我院2011年10月-2013年1月收治的57例2型糖尿病患者设为实验组，选取同期25名健康志愿者设为对照组。用胃十二指肠测压技术对两组人员进行消化间期胃肠移行性复合运动(MMC)检测，测定时间240-360min。结果实验组患者MMC正常者明显低于对照组(P<0.01)，实验组MMCⅢ期缺失者高于对照组(P<0.01)，MMCⅡ期持续时间长于对照组(P<0.05)，MMCⅢ期胃窦部收缩频率和波幅低于对照组(P<0.05)。结论糖尿病患者消化间期胃肠运动障碍可主要表现为MMC Ⅲ期缺失、Ⅱ期持续时间延长以及胃窦部收缩力减弱，胃十二指肠测压可作为糖尿病患者胃肠运动功能障碍诊断及治疗的有效措施。
目的觀察2型糖尿病患者消化間期胃腸運動的特徵。方法選取我院2011年10月-2013年1月收治的57例2型糖尿病患者設為實驗組，選取同期25名健康誌願者設為對照組。用胃十二指腸測壓技術對兩組人員進行消化間期胃腸移行性複閤運動(MMC)檢測，測定時間240-360min。結果實驗組患者MMC正常者明顯低于對照組(P<0.01)，實驗組MMCⅢ期缺失者高于對照組(P<0.01)，MMCⅡ期持續時間長于對照組(P<0.05)，MMCⅢ期胃竇部收縮頻率和波幅低于對照組(P<0.05)。結論糖尿病患者消化間期胃腸運動障礙可主要錶現為MMC Ⅲ期缺失、Ⅱ期持續時間延長以及胃竇部收縮力減弱，胃十二指腸測壓可作為糖尿病患者胃腸運動功能障礙診斷及治療的有效措施。
목적관찰2형당뇨병환자소화간기위장운동적특정。방법선취아원2011년10월-2013년1월수치적57례2형당뇨병환자설위실험조，선취동기25명건강지원자설위대조조。용위십이지장측압기술대량조인원진행소화간기위장이행성복합운동(MMC)검측，측정시간240-360min。결과실험조환자MMC정상자명현저우대조조(P<0.01)，실험조MMCⅢ기결실자고우대조조(P<0.01)，MMCⅡ기지속시간장우대조조(P<0.05)，MMCⅢ기위두부수축빈솔화파폭저우대조조(P<0.05)。결론당뇨병환자소화간기위장운동장애가주요표현위MMC Ⅲ기결실、Ⅱ기지속시간연장이급위두부수축력감약，위십이지장측압가작위당뇨병환자위장운동공능장애진단급치료적유효조시。
Objective To observe the characteristics of interdigestive gastrointestinal motility in type 2 diabetes mellitus. Methods 57 type 2 diabetes patients were selected from our hospital from October 2011 to January 2013 as the Experimental group and 25 healthy volunteers as the Control group. Then interdigestive gastrointestinal motility of 2 groups were detected by interdigestive gastrointestinal manometry, and the time lasted for 240-360minutes. Results The cases of integral MMC in type 2 diabetes patients, which was decreased than that of Control group(P<0.01); PhaseⅢ were absent of Experimental group and Control group(P<0.01); The amplitude of MMCⅢ in antrum was lower in the Experimental group than that in the Control group(P<0.05). Conclusion Absence of MMCⅢ, Period of MMCⅡis prolonged and Reduction of Shrinkage force in antrum are the main characteristics of interdigestive gastrointestinal motility disorders in type 2 diabetes mellitus, the gastroduodenal manometry can be an effective method in the treatment and early diagnosis of patients with diabetes.
