摘要
目的:探讨糖尿病胃肠植物神经病变与胃动力学的相关性,从而为该疾病的早期防治提供科学理论依据。方法:以我院于2013年12月~2014年12月期间收治的100例2型糖尿病患者作为研究对象,通过半流质核素胃排空试验对其胃动力学特征进行研究,同时运用Ewing方法定量分析患者心血管植物神经功能。结果:胃动力学异常患者有57例(57.0%),且其胃动力学特征与胃动力学正常患者差异明显;与胃动力学正常患者比较,异常患者心血管植物神经功能相关评价指标均出现异常,且相关性较强指标为卧立压差与乏氏指数。结论:胃动力学异常糖尿病患者,发生胃肠植物神经病变概率明显增加。因此,给予糖尿病患者及时进行胃排空试验,对于糖尿病胃肠植物神经病变的防治具有重要临床意义。
Objective To study the relationship between autonomic neuropathy and gastric motility in diabetic patients, so as to provide scientific theoretical basis for early prevention and treatment of the disease. Methods 100 cases of type 2diabetic patients admitted in our hospital in December 2013 to December 2014 were considered as the research object, and the gastric dynamics characteristics were studied using radionuclide semi-liquid gastric emptying test. At the same time, the Ewing method was used for quantitative analysis of patients with cardiovascular autonomic function. Results 57 patients(57%) had abnormal gastric motility, and the gastric motility characteristics were significantly different from normal gastric motility; Compared with normal patients, the indexes of cardiovascular autonomic nervous function were abnormal in the abnormal patients, in which the most relevant indicators were Differential pressure and Var index. Conclusion The probability of the occurrence of the gastrointestinal autonomic neuropathy in patients with gastric motility abnormality was significantly increased. Therefore, it is important to gastric emptying test for the prevention and treatment of diabetic gastrointestinal autonomic neuropathy in diabetic patients.
出处
《湖南师范大学学报（医学版）》
2016年第3期61-62,63,共3页
Journal of Hunan Normal University(Medical Sciences)
