糖尿病胃轻瘫和非糖尿病患者胃电图检测分析(1)
[摘要] 目的 糖尿病胃轻瘫和非糖尿病患者胃电图检测分析。方法 于2016年1月—2018年12月选择糖尿病胃轻瘫患者120例，作为研究组;非糖尿病功能性消化不良患者30例，作为对照组。两组分别于空腹和餐后检测胃电图，研究分析胃电图波形主频、波形平均幅值、波形反应面积、餐后/餐前功率比，确定两组间的差异。结果 研究组餐后餐前功率比为(1.47±0.82)，对照组为(0.51±0.69)，差异有统计学意义(t=5.726，P=0.000<0.05)。对照组餐前餐后的波形反应面积明显低于研究组，差异有统计学意义(t餐前=4.931，P=0.001<0.05;t餐后=4.539，P=0.003<0.05)，餐前餐后均差异有统计学意义(P<0.05)。其他参数在两组间差异无统计学意义(P>0.05)。结论 糖尿病胃轻瘫和非糖尿病患者在胃电图检测分析可为糖尿病胃轻瘫的诊断和用药提供依据。
[关键词] 糖尿病胃轻瘫;非糖尿病患者;胃电图检测
[中图分类号] R587.2 [文献标识码] A [文章编号] 1672-4062(2020)08(a)-0043-03
[Abstract] Objective To detect and analyze the electrogastrogram of diabetic gastroparesis and non diabetic patients. Methods 120 patients with diabetic gastroparesis from January 2016 to December 2018 were selected as the study group and 30 patients with non diabetic functional dyspepsia as the control group. The main frequency， average amplitude， response area and power ratio of the two groups were studied to determine the difference between the two groups. Results The power ratio before and after meal was (1.47±0.82) in the study group(0.51±0.69) in the control group， the difference was statistically significant(t=5.726，P=0.000<0.05).The area of waveform response in the control group before and after meal was significantly lower than that in the study group， and there were statistically significant differences between the two groups(tbeforemeal=4.931， P=0.001<0.05)(taftermeal=4.539，P=0.003<0.05).There was no statistically significant difference in other parameters between the two groups(P>0.05). Conclusion The detection and analysis of electrogastrogram in diabetic gastroparesis and non diabetic patients can provide basis for the diagnosis and medication of diabetic gastroparesis.
[Key words] Diabetic gastroparesis;Non diabetic patients;Detection of Electrogastrogram
糖尿病胃輕瘫是2型糖尿病的常见并发症，发生率逐年增长[1]。胃电图是在生理状态下描记的，又是非侵入性和非创伤性的一种检测手段，对胃动力状态的评估和胃动力障碍疾病的诊断具有很大价值[2]。2种截然相反的电活动导致的相同症状的患者在治疗上可能截然相反，该课题通过对糖尿病胃轻瘫患者的胃电图这一简便、经济、易接受的检查方法，分析引起2型糖尿病胃轻瘫患者胃排空延迟胃电和胃动力情况进行分析研究，区分胃动过速和胃动过缓，从而对传统治疗方案的进一步完善提供依据。该研究选取自2016年1月—2018年12月吉林省人民医院收治的120例糖尿病患者，通过病例对照研究及统计学分析，探讨糖尿病胃轻瘫患者的胃肠动力异常因素，取得良好结果，现报道如下。
1 资料与方法
1.1 一般资料
选择吉林省人民医院收治的糖尿病胃轻瘫患者120例，作为研究组;非糖尿病功能性消化不良患者30例，作为对照组。其中对照组含有男15例，女15例;年龄在29～71岁之间，平均年龄为(50.3±9.4)岁。研究组包括男性患者60例，女性患者60例;年龄在32～74岁之间，平均年龄为(51.1±9.6)岁。该次临床研究报伦理委员会批准，所有患者同意配合参加该次临床研究，患者及家属均签署知情同意书。比较两组患者的一般资料，差异无统计学意义(P>0.05)，具有可比性。, 百拇医药(李雨静 李敬岩 齐灵芝)
[关键词] 糖尿病胃轻瘫;非糖尿病患者;胃电图检测
[中图分类号] R587.2 [文献标识码] A [文章编号] 1672-4062(2020)08(a)-0043-03
[Abstract] Objective To detect and analyze the electrogastrogram of diabetic gastroparesis and non diabetic patients. Methods 120 patients with diabetic gastroparesis from January 2016 to December 2018 were selected as the study group and 30 patients with non diabetic functional dyspepsia as the control group. The main frequency， average amplitude， response area and power ratio of the two groups were studied to determine the difference between the two groups. Results The power ratio before and after meal was (1.47±0.82) in the study group(0.51±0.69) in the control group， the difference was statistically significant(t=5.726，P=0.000<0.05).The area of waveform response in the control group before and after meal was significantly lower than that in the study group， and there were statistically significant differences between the two groups(tbeforemeal=4.931， P=0.001<0.05)(taftermeal=4.539，P=0.003<0.05).There was no statistically significant difference in other parameters between the two groups(P>0.05). Conclusion The detection and analysis of electrogastrogram in diabetic gastroparesis and non diabetic patients can provide basis for the diagnosis and medication of diabetic gastroparesis.
[Key words] Diabetic gastroparesis;Non diabetic patients;Detection of Electrogastrogram
糖尿病胃輕瘫是2型糖尿病的常见并发症，发生率逐年增长[1]。胃电图是在生理状态下描记的，又是非侵入性和非创伤性的一种检测手段，对胃动力状态的评估和胃动力障碍疾病的诊断具有很大价值[2]。2种截然相反的电活动导致的相同症状的患者在治疗上可能截然相反，该课题通过对糖尿病胃轻瘫患者的胃电图这一简便、经济、易接受的检查方法，分析引起2型糖尿病胃轻瘫患者胃排空延迟胃电和胃动力情况进行分析研究，区分胃动过速和胃动过缓，从而对传统治疗方案的进一步完善提供依据。该研究选取自2016年1月—2018年12月吉林省人民医院收治的120例糖尿病患者，通过病例对照研究及统计学分析，探讨糖尿病胃轻瘫患者的胃肠动力异常因素，取得良好结果，现报道如下。
1 资料与方法
1.1 一般资料
选择吉林省人民医院收治的糖尿病胃轻瘫患者120例，作为研究组;非糖尿病功能性消化不良患者30例，作为对照组。其中对照组含有男15例，女15例;年龄在29～71岁之间，平均年龄为(50.3±9.4)岁。研究组包括男性患者60例，女性患者60例;年龄在32～74岁之间，平均年龄为(51.1±9.6)岁。该次临床研究报伦理委员会批准，所有患者同意配合参加该次临床研究，患者及家属均签署知情同意书。比较两组患者的一般资料，差异无统计学意义(P>0.05)，具有可比性。, 百拇医药(李雨静 李敬岩 齐灵芝)