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西沙必利治疗糖尿病性胃轻瘫35例疗效评价
引用本文:王颖,沈志祥,李竞,罗和生.西沙必利治疗糖尿病性胃轻瘫35例疗效评价[J].武汉大学学报(医学版),2000,21(3).
作者姓名:王颖  沈志祥  李竞  罗和生
作者单位:1. 湖北医科大学附属第一医院内分泌科
2. 湖北医科大学附属第一医院消化内科
摘    要:目的 :探讨全胃肠道促动力药物西沙必利对糖尿病性胃轻瘫 (DGP)的治疗作用。方法 :采用胃电图(EGG)体表描记法 ,分别描记DGP患者治疗前后及对照组EGG的数值 ,间接判断DGP患者治疗前后胃排空功能变化。结果 :治疗前DGP与对照组胃体、胃窦部的平均振幅 (AP)、峰值频率 (FP)均存在显著性差异 (P <0 .0 5或P <0 .0 1)。治疗后 2组比较 ,除胃窦AP外 ,胃体AP、FP及胃窦FP均无显著性差异 (P >0 .0 5 ) ,胃轻瘫患者的临床症状也得到显著改善。结论 :西沙必利是治疗DGP的有效药物。

关 键 词:糖尿病/并发症  胃肠活动  西沙必利/治疗应用

The Efficacy and Value of Cisapride in the Treatment of Diabetic Gastroparesis
Wang Yin,Shen Zhixiang,Li Jing,et al.The Efficacy and Value of Cisapride in the Treatment of Diabetic Gastroparesis[J].Medical Journal of Wuhan University,2000,21(3).
Authors:Wang Yin  Shen Zhixiang  Li Jing  
Affiliation:Wang Yin,Shen Zhixiang,Li Jing,et al Department of Endocrinology,First Affiliated Hospital,Hubei Medical University,Wuhan 430060,China
Abstract:Objective:To evaluate the therapeutic effect of cisapride on diabetic gastroparesis (DGP).Methods:The changes of surface electrograstrogram (EGG) in 35 DGP patients before and after therapy were observed and compared with those in normal subjects.Results:In DGP patients,AP and FP values of EGG in the body and antrum of stomach were lower than those in normal subjects with significant difference (P<0.05~P<0.01) before therapy.Except for Ap in the pyloric antrum ,the values of EGG in DGP patients were resumed after therapy,and the upper gastrointestinal symptoms of DGP patients were relieved.Conclusion:Cisapride was effective in the treatment of DGP patients.
Keywords:diabetes mellitus/CO  gastrointestinal motility  cisapride/TU
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