糖尿病病人胃排空及小肠运动时间变化的研究

目的　了解糖尿病病人液体和固体混合餐后胃排空及固体食物在小肠的运行情况。方法　采用双核素标记液体和固体后 ,用SPECT探头采集感兴趣区图像 ,计算胃排空和小肠运行时间指标。结果　糖尿病病人固体全胃半排空 近端胃半排空 远端胃最大计数时间均较正常人明显延迟 ,4 0 %～ 4 4 %病人超过正常范围 ,延迟相时间均数变化不明显 ,但 4 8%超出正常范围 ,液体排空各指标变化不明显。而小肠运行时间在糖尿病病人延迟明显。结论　糖尿病病人固体食物胃肠运行时间延迟 ,而液体胃排空无异常变化。

Changes of gastric emptying and small intestinal transit time in patients with diabetes mellitus

Objective To assess gastric emptying of mixed meal in patients with diabetes mellitus (DM) and small intestinal transit of solid meal.Methods Gastric emptying of solid and liquid food,and small intestinal transit time of solid food were measured in patients with DM by a dual isotopic technique.Anterior and posterior images were recorded by SPECT.Results The average time of 50% gastric and proximal gastric emptying of solid food and the maximal counting time of distal gastric solid food were much longer in patients than those in controls.About 40%-44% patients exceeded normal range.The change of the average time of delay phase was not significant,but 48% patients exceeded normal range;the change of gastric emptying of liquid food was not significant.But in patients,the small intestinal transit time of solid food was significantly longer than that of healthy controls.Conclusion The average transit time of solid meal in DM patients is longer,but their gastric emptying of liquid food is normal.