李雨静 李敬岩 齐灵芝

[摘要] 目的 胃电图检测分析2型糖尿病胃轻瘫患者和普通糖尿病糖患者的差别。方法 2016年1月—2018年12月便利选取2型糖尿病患者150例，将研究对象分为研究组（糖尿病胃轻瘫患者）120例，普通糖尿病对照组（无消化道症状）30例，对以上患者于空腹和餐后检测胃电图，研究分析胃电图波形主频、蠕动幅值等参数，确定两组间的差异。结果 两组餐前胃肠电节律紊乱百分比差异无统计学意义（P>0.05）。餐后两组波形平均幅值以及餐后的波形反应面积差异无统计学意义（P>0.05）。其他各项比较差异有统计学意义（P<0.05）。结论  糖尿病胃轻瘫和普通糖尿病糖患者在胃电图检测分析中具有显著差异，因此胃电图可为糖尿病胃轻瘫的诊断和用药提供依据有意义。

[关键词] 糖尿病胃轻瘫;胃电图检测; 2型糖尿病

[中图分类号] R4          [文献标识码] A          [文章编号] 1674-0742（2020）06（c）-0193-03

Analysis of Electrocardiogram Detection in 120 Patients with Diabetic Gastroparesis

LI Yu-jing1， LI Jing-yan2， QI Ling-zhi1

1.Department of Gastroenterology， Jilin Provincial People's Hospital， Changchun， Jilin Province， 130021 China; 2.Department of Respiratory， Digestive and Endocrinology， Huadian People's Hospital， Huadian， Jilin Province， 130000 China

[Abstract] Objective To detect and analyze the difference between type 2 diabetic gastroparesis patients and common diabetic sugar patients. Methods January 2016 - December 2018 150 patients with type 2 diabetes were convenient selected， and the research subjects were divided into a research group （diabetic gastroparesis patients） 120 cases， an ordinary diabetic control group （no gastrointestinal symptoms） 30 cases， the stomach of the above patients was tested on an empty stomach and after meals Electrogram， study and analyze the main frequency and creeping amplitude of electrogastrogram waveform to determine the difference between the two groups. Results There was no difference statistically significant in the percentage of gastrointestinal electrical rhythm disorders before meals between the two groups（P>0.05）. There was no significant difference in the average amplitude of the waveform between the two groups after the meal and the area of the waveform response after the meal. All other comparisons were statistically significant.Conclusion Diabetic gastroparesis and ordinary diabetic sugar patients have significant differences in electrogastrogram detection and analysis. Therefore， electrogastrogram can provide a basis for the diagnosis and medication of diabetic gastroparesis.

[Key words] Diabetic gastroparesis; Electrogastrographic test; Type 2 diabetes

近年來，2型糖尿病的发病率迅速增加，糖尿病胃轻瘫作为2型糖尿病的常见并发症，其发生率也有增加趋势，传统的治疗方案对很大一部分患者治疗效果差[1]。临床表现为恶心、呕吐、早饱、上腹痛、腹胀、体重减轻等。糖尿病胃轻瘫检查方法很多，胃电图检查相对来说价格便宜，应用方便，认为是一种临床相对理想的检查方法[2]。糖尿病胃轻瘫的发病机制非常复杂，确切的发病机制仍未完全明确，目前认为关键原因胃糖尿病神经病变导致胃的外在和内在神经损伤。该研究于2016年1月—2018年12月便利选取吉林省人民医院收治的糖尿病患者150例，将研究对象分为研究组（糖尿病胃轻瘫患者）120例，单纯糖尿病对照组30例。对照研究的方法确定糖尿病胃轻瘫患者组和对照组在胃电图波形主频、波形平均幅值、正常慢波百分比、胃肠电节律紊乱百分比、餐后/餐前功率比方面存在差异，取得良好结果，报道如下。