| 胃食管反流病胃电活动变化的研究 |
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| 引用本文： | 梁列新,左国文,覃柳,陈琳,梁增文. 胃食管反流病胃电活动变化的研究[J]. 临床内科杂志, 2004, 21(7): 470-472 |
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| 作者姓名： | 梁列新 左国文 覃柳 陈琳 梁增文 |
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| 作者单位： | 530021,南宁,广西壮族自治区人民医院消化科 |
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| 摘 要： | 目的 探讨胃食管反流病 (GERD)的胃电活动变化。方法 主诉反流症状的患者 ,经 2 4小时食管酸、碱监测和 (或 )胃镜检查 ,GERD 43例 ,健康对照组 3 9例 ,进行餐前、餐后体表胃电图 (EGG)监测。结果 GERD组的平均正常胃电慢波百分比 ( 63 .40 %± 3 1.63 %)显著低于对照组 ( 80 .89%± 2 5 .42 %) ,餐前胃电节律异常的发生率 ( 5 8.1%)显著高于对照组 ( 17.0 %) ,餐前主频不稳定系数 ( 5 3 .6± 5 0 .8)也显著高于对照组 ( 3 4.2± 3 3 .1) ;GERD组的餐后胃电节律异常的发生率 ( 3 2 .6%)显著高于对照组 ( 12 .8%)。结论 GERD患者存在餐前、餐后胃电活动异常 ,体表EGG检查有助于了解GERD的胃运动功能情况
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| 关 键 词： | 胃食管反流病 胃电图 胃电节律异常 |
| 文章编号： | 1001-9057(2004)07-0470-03 |
| 修稿时间： | 2004-03-11 |
Investigation of gastric electric activity changes in gastroesophageal reflux disease |
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| Abstract: | Objective To investigate the gastric electrical activity changes in gastroesophageal reflux disease(GERD).Methods An electrogastrography(EGG) was performed for 30 min.before and after each meal test in 43 patients with GERD diagnosed by low esophageal 24h pH+bile monitoring and in 39 healthy controls.Results The prevalence of proprandial gastric dysrhythmia in GERD was higher than that in control(58.1% vs 17.0%) and the value of preprandial instability coefficient of the dominant frequency higher that that in control.The prevalence of postprandial gastric dysrhythmia in GERD was higher than that in control(33.0% vs 15.0%).Conclusions There were abnormal preprandial and postprandial gastric electrical activities in patients with GERD.Transcutaneous EGG can be used to investigate gastric motility function in GERD. |
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| Keywords: | Gastroesophageal reflux disease Electrogastrography Gastric dysrhythmias |
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