摘要
目的观察急性肝炎患者胃肌电活动的变化,探讨急性肝炎患者胃动力异常的病理机制。方法选择2010年10月—2011年9月我院消化内一科就诊的急性肝炎70例(重型肝炎6例,普通型肝炎64例)及同期健康志愿者35例,应用胃电图测定胃肌电活动情况。结果进餐前胃肌电活动:急性肝炎组正常慢波节律百分比明显低于对照组(P<0.01),急性肝炎组胃动过缓百分比、无节律百分比均高于对照组(P<0.05)。进餐后胃肌电活动:急性肝炎组正常慢波节律百分比、主功率均低于对照组(P<0.05),急性肝炎组胃动过缓百分比、无节律百分比均高于对照组(P<0.05),胃动过速百分比两组比较差异无统计学意义(P>0.05)。进餐前急性重型肝炎组正常慢波节律百分比、主功率低于急性普通型肝炎组(P<0.05),而胃动过缓百分比、无节律百分比均高于急性普通型肝炎组(P<0.05)。结论急性肝炎患者存在胃肌电活动异常,可能与急性肝炎患者胃动力障碍有关。
Objective To observe changes of gastric myoelectrical activity in patients with acute hepatitis, and to explore pathological mechanism of the abnormal gastric motility. Methods A total of 70 patients with acute hepatitis （6 cases of acute se vere hepatitis ,64 cases of acute common hepatitis） during October 2010 and September 2011 in our department, and 35 healthy peopie （control group） at the same time were detected for gastric myoelectrical activity by electrogastrogram （EGG）. Results Gastric myoelectrical activity before meals： The percentage of normal slow wave rhythmicity in acute hepatitis group was significantly lower than that in control group （P 〈 0.01 ）, and the percentages of bradygastria and arhythmia in acute hepatitis group were significantly higher than those in control group （P 〈 0. 05）. Gastric myoelectrical activity after meals ： The percentage of normal slow wave rhyth micity and main work rate in acute hepatitis group was significantly lower than those in control group （P 〈 0. 05）, the percentages of bradygastria and arhythmia in acute hepatitis group were significantly higher than those in control group （P 〈 0. 05）, and there was not statistically significant in tachygastria percentage （P 〉 0.05）. Before having a meal, the percentages of normal slow wave rhyth micity and main work rate in patients with acute severe hepatitis were significantly lower than those in patients with acute common hepatitis （P 〈 O. 05）, while the percentages of bradygastria and arrhythmia were significantly higher than those in patients with acute common hepatitis （P 〈 O. 05）. Conclusion When gastric myoelectrical activities are abnormal in patients with acute hepatitis, they may be relate to gastric dyskinesis.
出处
《临床误诊误治》
2013年第5期63-65,共3页
Clinical Misdiagnosis & Mistherapy
基金
河北省卫生厅青年科技课题(20110554)
关键词
肝炎
急性
胃
肌电描记术
胃排空
Hepatitis, acute
Stomach
Electromyography
Gastric emptying
