糖尿病性胃轻瘫的诊治进展

糖尿病性胃轻瘫(DGP)是糖尿病患者的常见并发症,影响糖尿病患者的生活质量。DGP是糖尿病患者的常见并发症,其主要症状为恶心、呕吐,早饱感及餐后腹胀,可极大地降低患者的生活质量。患者有胃排空延迟症状,排除机械性梗阻的病因即可诊断为胃轻瘫。胃排空闪烁扫描法是诊断胃排空延迟的金标准。DGP的常用治疗措施是饮食调理、促胃动力药、止吐药等。现就DGP的临床表现、发病机制、诊断和治疗进展予以综述。

Advances in the Diagnosis and Treatment of Diabetic Gastroparesis

Diabetic gastroparesis(DGP)is a common complication in diabetics,which may result in poor quality of life.The typical symptoms of DGP are nausea,vomiting,early satiety,bloating and postprandial fullness,which can extremely lower the quality of life.The diagnosis of DGP is made by the presence of delayed gastric emptying,ruling out mechanical obstruction.The gold standard test to diagnose delayed gastric emptying is gastric emptying scintigraphy.The common treatments for DGP include dietary modifications,prokinetic agents and antiemetic agents.Here is to make a review on the progress of clinical manifestation,pathogensis,diagnosis and treatment of DGP.