摘要
目的:探讨慢性胃炎(CG)患者幽门螺杆菌(Hp)感染、胃炎程度及是否活动性、临床症状等与胃固体排空功能的相关性。方法:30例诊断为CG的患者,根据Hp检测或组织病理学结果分为:Hp阳性组(n=8)及Hp阴性组(n=22);活动性炎症组(n=16)和无活动性炎症组(n=14);炎症轻度(n=15)、中度(n=9)、重度(n=6)。所有患者服标准试餐加不透X线的小钡条,5h后摄腹部平片1张,观察胃内残留钡条数目,计算胃排空率。结果:30例CG患者平均固体餐胃排空率为(67.8±40.1)%。Hp阳性者胃排空率为(75.0±39.2)%,Hp阴性者为(65.2±41.0)%,差异无显著性意义(P>0.05)。伴活动性炎症者为(58.8±42.1)%,无活动性炎症者为(78.2±36.5)%,无显著性差异(P>0.05)。慢性胃炎轻、中、重度患者胃排空率分别为(68.3±42.8)%,(76.1±33.5)%,(54.2±45.3)%,均无显著性差异。结论:Hp感染、炎症及是否活动性与CG的固体餐胃排空功能无显著相关性。
Objective:To explore the relationship of gastric emptying with Helicobacter pylori(Hp) infection, activity and severity of gastritis, and clinical symptoms in patients with chronic gastritis.Methods:Thirty outpatients with chronic gastritis were classified into Hp positive (n=8) and negative groups (n=22), and into active (n= 16) and inactive gastritis groups (n=14), and into mild (n=15), moderate (n=9) and severe groups (n= 6), according to Hp and histology examination. The gastric emptying was measured by a radioscopic technique 5 h after a solid meal with radiopaque markers. Results:Total percentage of postprandial 5h emptying was (67.8±40.1)%. There were no significant difference between Hp positive patients and Hp negative patients \[(75.0±39.0)%, (65.2±41.0)%, respectively, P > 0.05\]; and there were no significant differences between patients with active gastritis and inactive gastritis \[(58.8±42.1)%,(78.2±36.5)%, respectively, P > 0.05\]; just the same as above, no significant difference was noted among mild, moderate and severe gastritis patients \[(68.3±(42.8)%,)(76.1±33.5)%,(54.2±45.3)%, respectively\]. Conclusion:Hp infection, activity or severity of gastritis, and clinical symptoms have no effect on gastric emptying in chronic gastritis patients.
出处
《医学研究生学报》
CAS
2005年第7期609-611,共3页
Journal of Medical Postgraduates
基金
江苏省"135工程"医学重点人才基金资助项目(批准号:苏卫科教[2003]19号)
