摘要
目的探讨慢性胃炎患者胃黏膜糜烂与否影响胃排空功能,以及症状学评分与胃排空功能的相关性。方法75例慢性胃炎患者经内镜检查分为黏膜糜烂组与无糜烂组,经问卷调查获得症状评分,然后进行钡条胃排空功能检测。比较黏膜糜烂组与无糜烂组的餐后5h胃排空率,进行症状评分与胃排空率的相关性分析。结果糜烂组5h胃排空率为(100.00±25.00)%(中位数±四分位数间距),钡条总排出率(该组患者排出钡条总数与吞入的钡条总数之比)为82.95%。无糜烂组5h胃排空率为(85.00±55.00)%,钡条总排出率为62.17%。两组间差异有统计学意义(P<0.05)。上腹胀症状评分与胃排空率相关(r=-0.243,P<0.05)。结论慢性胃炎患者胃黏膜糜烂可加速胃排空,上腹胀症状评分与胃排空率存在负相关性。
Objective To investigate whether gastric mucosal erosion modified the gastric emptying and the correlation between the gastric emptying and symptoms. Methods Seventy five chronic gastritis patients were divided into erosion group and non-erosion group. Each patient completed a detailed symptom questionnaire and underwent the evaluation of the gastric emptying using barium sticks. Results Erosion Group: 5-hour gastric emptying rate was ( 100.00 ±25.00) % (median ± quartile interval), mean emptying rate was 82.95%, Non-erosion Group: 5-hour gastric emptying rate was (85.00 ± 55.00)% , mean emptying rate was 62.17%. There was significant difference in the gastric emptying rate between the two groups, P 〈 0.05. The correlation coefficient r of the gastric emptying and the symptom score of upper abdominal distention was -0. 243, P 〈 0.05. Conclusion Mucosal erosion might play a role in the abnormal gastric emptying rate in chronic gastritis patients. There was negative correlation between the gastric emptying and the symptom score of upper abdominal distention.
出处
《全科医学临床与教育》
2006年第4期273-275,322,共4页
Clinical Education of General Practice
关键词
慢性胃炎
黏膜糜烂
胃排空
chronic gastritis
mucosal erosion
gastric emptying