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超声观察Ⅱ型糖尿病胃动力及西沙比利对其改善作用 被引量:1

Ultrasonography for gastric emptying function in patients with typeⅡdiabetes mellitus and therapeutic effect of cisapride on diabetic gastroparesis
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摘要 目的 探讨Ⅱ型糖尿病患者胃液排空功能,同时观察西沙比利对糖尿病胃轻瘫的疗效。方法 应用超声检查对22例正常组及20例糖尿病患者的胃液半排空时间进行比较,并用西沙比利(10 mg tid)治疗其中11名有胃轻瘫的病人,4周后复查对照。结果 正常组胃液半排空间为(t1/2)(14.80±4.35)min,Ⅱ型糖尿病组的胃半排空时间为(28.00±8.94)min,二者之间有显著的差异。口服西沙比利后11名患者的胃半排空时间由(33.64±5.05)min减至(20.91±5.39)min。结论 糖尿病患者胃排空有明显的障碍,西沙比利可改善糖尿病胃轻瘫,本实验为糖尿病人临床应用西沙比利治疗提供了理论依据。 Objective To investigate the gastric emptying function in patients with typeⅡdiabetic gastroparesis. Methods The gastric half-emptying time of liquid meals was measured by B-mode ultrasonography in 20 diabetic patients and 22 healthy subjects. Eleven diabetic patients with gastroparesis received cisapride at an oral single daily dose of 30 mg/d and were reexamined at the end of 4-week treatment course. Results The gastric half emptying time was (14.80±4.35) min in normal subjects and (28.00±8.94) min in diabetic patients. Significantly delayed gastric emptying was found in diabetic patients. The gastric half-emptying time was decreased from (33.64±5.05) min to (20.91±5.39) min (P<0.01) in 11 patients after cispride therapy. Conclusion The gastroparesis is common in patients with typeⅡ diabetes and cisapride has favorable effect on diabetic gastroparesis.
出处 《第一军医大学学报》 CSCD 2000年第6期534-535,共2页 Journal of First Military Medical University
关键词 胃轻瘫 超声检查 Ⅱ型糖尿病 西沙比利 胃动力 diabetes gastroparesis ultrasonography`
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  • 1莫剑忠,中国糖尿病杂志,1994年,2期,204页

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