糖尿病伴发的上消化道病变电子胃镜检查诊断疾病特点分析

目的探讨糖尿病伴发的上消化道病变电子胃镜检查诊断疾病特点。方法选取2017年1月—2019年4月收治的30例糖尿病合并上消化道病变患者与30例单纯上消化道病变患者作为研究对象,均实施电子胃镜检查。结果两组在食管黏膜、胃底红斑、胃底胃窦红斑对比中差异无统计学意义(P>0.05);而两组在贲门口、空腹血糖、餐后2 h血糖对比中差异有统计学意义(P<0.05)。两组在食管糜烂、十二指肠糜烂、复合型溃疡对比中差异无统计学意义(P>0.05);两组在胃糜烂、2个部位以上糜烂、胃溃疡、十二指肠溃疡对比中差异有统计学意义(P<0.05)。结论电子胃镜用于糖尿病合并上消化道病变中具有较高的临床价值,可为疾病区分提供客观依据。

Analysis of the Characteristics of Diagnosis of Diseases Caused by Diabetes Mellitus with Upper Gastroscope

Objective To investigate the characteristics of electronic gastroscopy in the diagnosis of upper gastrointestinal lesions associated with diabetes.Methods Thirty patients with diabetes mellitus complicated with upper gastrointestinal disease and 30 patients with simple upper gastrointestinal disease were enrolled from January 2017 to April 2019.All patients underwent electronic gastroscopy.Results There was no difference between the two groups in the comparison of esophageal mucosa,fundocutaneous erythema and gastric fundus antral erythema(P>0.05).There was a difference between the two groups in the comparison of blood glucose at the entrance,fasting blood glucose and postprandial 2 h(P<0.05).There was no statistically singnificant difference between the two groups in the comparison of esophageal erosion,duodenal erosion and complex ulcer(P>0.05).There were significant differences between the two groups in gastric erosion,erosion of more than two sites,gastric ulcer and duodenal ulcer(P<0.05).Conclusion Electronic gastroscope has a high clinical value in the treatment of diabetes mellitus with upper gastrointestinal lesions,which can provide an objective basis for disease differentiation.