摘要
本文对B Ⅰ式(n=10)、B Ⅱ式(n=15)及保留幽门胃窦浆肌瓣式胃切除术(PAFPG n=15),术后1月～24月病人及健康对照者(n=8)的血管活性肠肽进行动态测定,发现服高渗葡萄糖液后,B Ⅰ组与B Ⅱ组血管活性肠肽浓度显著高于PAFPG组(P<0.05),而PAFPG组与对照组无显著差异(P>0.05)。B Ⅰ组与B Ⅱ组中倾倒综合征发作患者的血管活性肠肽浓度显著高于两组中无倾倒综合征患者(P<0.05)。造成术后激素水平的差异性可能与胃肠吻合方式有关。
In order to evaluate the effects of subtotal gastrectomy on the release of vasoactive intestinal peptide (VIP) into the blood,blood samples were taken from 10 patients after Billroth Ⅰ operation (B-Ⅰ),15 patients after Billroth Ⅱ operation (B-Ⅱ),15 patients after antroseromuscular flap preserving gastrectomy (PAFPG),and 8 normal subjects who served as the control.The blood samples were taken after the individual took hypertonic glucose solution.It was found that the VIP elevation rate was significantly higher in B-Ⅰ and B-Ⅱ group than in PAFPG group (P <0.05) but there was significant difference between PAFPG and the control (P >0.05).In B-Ⅰ and B-Ⅱ,the VIP elevation rate was significantly higher in those cases with dumping syndrome than in those without (P <0.05).Our findings suggest that the difference of VIP level might be related to the different types of operation adopted.
出处
《第三军医大学学报》
CAS
CSCD
北大核心
1992年第3期259-261,共3页
Journal of Third Military Medical University
关键词
血管活性肠肽
胃切除术
倾倒综合征
vasoactive intestinal peptide
gostrectomy
dumping syndrome
