摘要
本文用标准食管测压术对随机选择的２８例糖尿病患者进行了食管测压研究，并与１２名健康志愿者作对照，发现多数无食管症状的糖尿病患者存在食管运动异常，表现为：食管下括约肌静息压力下降；食管体部下段收缩波幅降低；第三收缩、节段性收缩增加；双峰及多峰收缩增多。这些异常与患者的年龄、性别、病程、空腹血糖及糖基化血红蛋白水平、心脏植物神经和周围神经病变等无关。食管测压术是一种简便、可靠的方法，可用于早期检测糖尿病食管运动功能的异常。
Esophageal function was prospectively studied in 28
consecutive diabetes mellituspatients using the standard manometric technique,12 healthy
volunteers served as control。Our data indicated that esophageal motilitv abnormalities could
occur in absence ofesophageal symptoms in most diabetic patients. The abnormalities
included:(1). resting loweresophageal sphincteric pressure diminished,(2)amplitude of
contraction of lower segment ofesophageal body reduced,(3).the tertiary and segmental
contraction increased,(4).doubleandmultiple-peak contractions more frequent.These
abnormalities were irrelevant with patients’age, sex, course of illness, fasting blood sugar
leve1,glycosylated hemoglobin level anddisordered autonomic nervous system of heart and
peripheral neuropathy。Esophagealmanometry is simple, reproducible it can detect early
esophageal motility dysfunction indiabetics。
出处
《中华消化杂志》
CAS
CSCD
北大核心
1995年第4期200-202,共3页
Chinese Journal of Digestion
关键词
食管测压术
食管运动异常
糖尿病
Esophageal manometry
Esophageal
motility abnormalitis
Diabetes melli-tus
