本文關(guān)鍵詞：ECT胃排空測(cè)定技術(shù)對(duì)功能性消化不良胃排空患者臨床評(píng)分和血漿�；痝hrelin水平的評(píng)價(jià)作用　出處：《世界華人消化雜志》2016年11期 　論文類型：期刊論文

  更多相關(guān)文章： 發(fā)射型計(jì)算機(jī)斷層掃描技術(shù) 功能性消化不良 影響因素

【摘要】：目的:探討應(yīng)用發(fā)射型計(jì)算機(jī)斷層掃描(emission computed tomography,ECT)技術(shù)對(duì)功能性消化不良胃排空的影響因素.方法:收集2012-06/2015-04延邊大學(xué)附屬醫(yī)院收治的功能性消化不良胃排空患者的臨床資料72例作為實(shí)驗(yàn)組A.選取經(jīng)ECT核素標(biāo)記檢測(cè)提示胃排空延遲者72例為實(shí)驗(yàn)組B.選取同時(shí)期來延邊大學(xué)附屬醫(yī)院進(jìn)行健康體檢的志愿者72例作為對(duì)照組.對(duì)實(shí)驗(yàn)組A進(jìn)行SPECT胃排空檢測(cè).實(shí)驗(yàn)組B采取口服西沙比利治療.觀察實(shí)驗(yàn)組A和對(duì)照組T1/2時(shí)間、最大殘留率(maximum rate of residual,EAOM)、全胃及各分區(qū)面積,觀察實(shí)驗(yàn)組B治療效果.結(jié)果:實(shí)驗(yàn)組A的T1/2在近端胃、遠(yuǎn)端胃方面,均顯著長(zhǎng)于對(duì)照組(P0.05).實(shí)驗(yàn)組A EAOM在近端胃、遠(yuǎn)端胃、中間橫帶(midgastric transverse band,MTB)區(qū)方面,均顯著高于對(duì)照組(P0.05).實(shí)驗(yàn)組A在近端胃、遠(yuǎn)端胃、MTB區(qū)、全胃的面積方面,均顯著高于對(duì)照組(P0.05).實(shí)驗(yàn)組B采取西沙比利治療.72例患者近胃端T1/2從69.24 min±9.33 min下降至48.55 min±8.64min,患者殘留率從42.88%下降至29.99%,治療后效果優(yōu)于治療前,治療前后比較,差異有統(tǒng)計(jì)學(xué)意義(P0.05);患者服藥前MTB寬度為3.33 cm±0.09 cm,服藥后MTB寬度為2.68 cm±0.09 cm,治療后MTB寬度低于治療前,治療前后比較,差異有統(tǒng)計(jì)學(xué)意義(P0.05).結(jié)論:應(yīng)用ECT技術(shù)能夠檢測(cè)功能性消化不良胃排空的影響因素,患者經(jīng)西沙比利治療后,效果較好.
[Abstract]:Objective: To explore the application of emission computed tomography (emission computed tomography, ECT) influence factors on functional dyspepsia gastric emptying. Methods: from the Affiliated Hospital of Yanbian University 2012-06/2015-04 clinical data of gastric emptying in patients with functional dyspepsia in 72 cases as experimental group A. selected by ECT labeled detection indicated that the delayed gastric emptying. 72 cases of the experimental group B. select the same period to the Affiliated Hospital of Yanbian University of healthy volunteers as a control group of 72 cases were detected. SPECT on gastric emptying in experimental group. The experimental group adopted B A and Do Si Shah Billy treatment. The experimental group A and control group T1/2 time, maximum residue rate (maximum rate of, residual, EAOM) the stomach and the partition area, was observed in the experimental group B treatment. Results: the experimental group of A T1/2 in the proximal stomach and distal stomach, significantly longer than the control group (P0.05) The experimental group A EAOM in the proximal stomach and distal gastric midgastric transverse band (midgastric transverse, band, MTB) area, were significantly higher than control group (P0.05). The experimental group A in the proximal stomach and distal gastric area MTB, stomach area, were significantly higher than control group (P0.05). The experimental group B.72 patients take Si Shah Billy in the treatment of proximal gastric T1/2 decreased from 69.24 min to 48.55 min + 9.33 min + 8.64min patients with residual rate decreased from 42.88% to 29.99%, better than the treatment before, after treatment, the difference was statistically significant (P0.05); patients before taking the MTB width of 3.33 cm + 0.09 cm, after taking the MTB width of 2.68 cm + 0.09 cm, width of MTB after treatment lower than before treatment, after treatment, the difference was statistically significant (P0.05). Conclusion: the application of ECT technology can influence factors of functional dyspepsia gastric emptying of patients after cisapride treatment, the effect is Good.
【作者單位】： 延邊大學(xué)附屬醫(yī)院核醫(yī)學(xué)科;
【分類號(hào)】：R57;R817.4
【正文快照】： 0 引言 胃主要是靠壓力的作用使得食物中液體成分得以排出, 然后固體成分逐步被消化成微粒,利于幽門排出. 這一過程和中樞神經(jīng)系統(tǒng)、自主神經(jīng)系統(tǒng)、胃腸激素等有關(guān)系[1]. 功能性消化不良(functional dyspepsia, FD)引起的胃排空障礙對(duì)患者的生活質(zhì)量有著嚴(yán)重影響. 其發(fā)病機(jī)制

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