老年反流性食管炎患者固体胃排空状况及其心理因素
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李 军, 蔡昌豪, 吴本俨, 李 园, 张建军,
反流性食管炎;胃排空;13C辛酸;Zung氏量表,李军,蔡昌豪,吴本俨,李园,张建军,王金海,通讯作者:,Solidgastricemptyin
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李军, 蔡昌豪, 吴本俨, 李园, 中国人民解放军总医院南楼消化科 北京市 100853
张建军, 王金海, 总参北极寺干休处门诊部 北京市 100083
通讯作者: 李军, 100853, 北京市复兴路28号, 中国人民解放军总医院南楼消化科. wuditian111@sohu.com
收稿日期: 2006-08-14 接受日期: 2006-09-20
Solid gastric emptying and mental analysis in elderly patients with reflux esophagitis
Jun Li, Chang-Hao Cai, Ben-Yan Wu, Yuan Li, Jian-Jun Zhang, Jin-Hai Wang
Jun Li, Chang-Hao Cai, Ben-Yan Wu, Yuan Li,Department of Gastroenterology, South Building, General Hospital of Chinese PLA, Beijing 100853, China
Jian-Jun Zhang, Jin-Hai Wang,Outpatient Department of Beijisi Retired Cadres Entertainment Center, Beijing 100083, China
Correspondence to: Jun Li,Department of Gastroenterology, South Building, General Hospital of Chinese PLA, Beijing 100853, China. wuditian111@sohu.com
Received:2006-08-14 Accepted:2006-09-20
Abstract
AIM: To study the function of solid gastric emptying in elderly patients with reflux esophagitis (RE) and its correlative factors and provide evidence for clinical diagnosis and treatments.
METHODS: The solid gastric emptying of RE patients (n = 33) was checked by 13C-octanoic acid breath test. All the patients had been classified by endoscopy according the standard made on Yantai conference in 1999. The symptoms were scored and the mental factors were evaluated through Zung's self-rating depression scale.
RESULTS: The half gastric emptying time (T1/2) and lag phase time (Tlag) in RE patients were both obviously higher than those in the controls (t = 7.51, P < 0.01; t = 9.42, P < 0.01), and the values of T1/2 and Tlag in patients with more than 6 scores were also markedly higher than those with less than 6 scores (t = 4.01, P < 0.01; t = 9.42, P < 0.01). However, no significant difference was found between endoscopicⅠand Ⅱ+Ⅲ grade in T1/2 and Tlag. The melancholy and anxiety score in RE patients were significantly higher than those in the controls (56 ......
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