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慢性肾功能衰竭患者胆囊运动的变化和血浆胃动素水平的关系
引用本文:王晓波,罗书平.慢性肾功能衰竭患者胆囊运动的变化和血浆胃动素水平的关系[J].中华内科杂志,1996,35(2):86-88.
作者姓名:王晓波  罗书平
作者单位:北京石景山医院消化科
摘    要:为了解慢性肾功能衰竭(CRF)患者血浆胃动素水平对胆囊运动功能的影响,通过B超测定了17例正常人和22例CRF患者口服红霉素前后,胆囊运动功能的变化;并采用放射免疫分析法测定两组空腹血浆胃动素。结果显示:CRF组空腹胆囊体积(FGVs)和剩余胆囊体积明显小于正常组(P均〈0.01),但两组最大排空率差异无显著性(P〉0.05),口服红霉素后正常组FGVs和剩余胆囊体积均明显减少(P均〈0.05),

关 键 词:肾功能衰竭  胆囊运动  胃动素

EFFECTSOFCHANGESOFPLASMAMOTILINLEVELONTHEMOTILITYOFGALLBLADDERINPATIENTSWITHCHRONICRENALFAILURE
WangXiaobo,LuoShuping,LiuYushan,etal,BeijingShijingshanHospital,Beijing.EFFECTSOFCHANGESOFPLASMAMOTILINLEVELONTHEMOTILITYOFGALLBLADDERINPATIENTSWITHCHRONICRENALFAILURE[J].Chinese Journal of Internal Medicine,1996,35(2):86-88.
Authors:WangXiaobo  LuoShuping  LiuYushan  etal  BeijingShijingshanHospital  Beijing
Institution:WangXiaobo,LuoShuping,LiuYushan,etal,BeijingShijingshanHospital,Beijing100043
Abstract:Inordertostudytherelationshipbetweenplasmamotilinandmotilityofgelbladderinpa-tientswithchronicrenalfailure(CRF).Galbladdervolumersweredeterminedwithultrasoundin17normalsubjectsand22patientswithCRF.Fastinggalbladdervolumes(FGVs)andpostprandialresidualgalblad-dervolumesinpatientswithCRFweremuchsmalerthanthoseofmormalsubjects(P<0.01,P<0.01)TherewasnosignificantdiferenceofmaximalpercentageemptyingofgalbladderbetweennormalsubjectsandpatientswithCRF(P>0.05).In17normalsubjectsoralerythromycinadministrationreduceFGVsandpostprandialresidualgalbladdervolumes(P<0.05,P<0.05).In22patientswithCRForalery-thomycinadministrationchangedneitherFGVsnorpostprandialresidualgalbladdervolumes.Radioim-munoassaywasemployedtomeasureplasmamotilinconcentration.TheresultsshowedthatmeanlevelofplasmamotilinofpatientswithCRFwasmuchhigherthanthatofnormalsubjects(P<0.01).TherewassighificantnegativecorrelationbetweenplasmamotilinlevelandFGVs.Itissuggestedthathyper-motilinemiamaybeoneofthemajorreasonsformotilitydisorderofgalbladderinpatientswithCRF.
Keywords:kidneyfailurechronicGalbladderMotilin
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