钡条试餐法评估胃肠排空时间.docVIP

钡条-试餐法评估胃肠排空时间 白学松余益君刘洪兰杨波杨帆 达州市中心医院消化科四川达州635000 】背景：功能性腹泻及功能性便秘(釆用罗马III诊断标准)常以 胃肠运动功能紊乱为主要表现，胃肠传输时间是反映胃肠运动功能的重要指标。 目的：探讨钡条-试餐法在评价胃肠传输时间以及诊断功能性便秘及功能性腹泻 中的作用。方法：采用钡条-试餐法分別测定30名健康对照者、30例功能性腹泻 患者及30例功能性便秘患者钡条的胃排率空及结肠排空率。结果：健康对照组 2h及4h胃排空率，结肠24h、48h及72h结肠排空率，男女之间相比差异无统 计学意义(Pgt;O. 05)。功能性腹泻组的2h及4h的胃排空率;24h、48h、72h 结肠排空率明显高于健康对照组。功能性便秘组2h与健康对照组的胃排空率无 明显差异，4h胃排空率显著低于健康对照组(Plt;O. 01)。功能性便秘组的24h、 48h、72h结肠排空率均低于健康对照组(Plt;O. 01)。结论：功能性腹泻患者的 胃肠排空速度增快，功能性便秘患者的胃肠排空速度明显减慢。钡条试餐法简单 易行、易于广泛开展.可准确有效地评价胃肠传输功能，并在功能性胃肠道疾病 诊断中起有重要作用。 关键词】钡条；功能性便秘；功能性腹泻；胃排空率；结肠排空率 】R472.9+1 】B 】1764-8999 (2015) 7-0517-02 Barium strip and test meal to evaluate gastrointestinal emptying time Bai Xuesong Yu Yijun Liu Honglan Yang Bo Yang Fan Abstract】 Background: The main problem of functional diarrhea and functional constipation (using the Rome III diagnostic criteria) is gastrointestinal motility dysfunction , gastrointestinal transit time is an important indicator of gastrointestinal motor function. Objective: Evaluation gastrointestinal transit time and diagnosis functional constipation and functional diarrhea by using the barium strip and test meal .Methods: Barium strip and test meal were used for determining the rate of gastric empting and colon emptying of 30 healthy controls, 30 cases of patients with functional diarrhea and 30 cases of patients with functional constipation.Results: 2h and 4h gastric emptying rate of healthy control group, the rate of 24h, 48h and 72h colon emptying , there werw no statistically significant differences between men and women (Pgt; 0.05). 2h and 4h gastric emptying rate of functional diarrhea group; 24h, 48h and 72h colon emptying rate were significantly higher than the control group. 2h gastric emptying rate of functional constipation group was not significantly different in the healthy control group, 4h gastric emptying rate was significantly lower than the control group (P lt;O.01). 24h, 48h, 72h colon emptying rates of Functional constipation group wer