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目的 :了解不同临床类型功能性消化不良 (FD)的胃排空 ,探讨FD的病因。方法 :采用不透X线标志物测定 11例健康者及 3 5例FD患者 (运动障碍型 10例 ,溃疡型 11例 ,反流型 14例 )餐后 6小时胃排出的钡条数。结果 :FD组较正常对组胃排空明显延迟 (P <0 .0 5 ) ,运动障碍型与正常对照组比较胃排空明显延迟 (P <0 .0 5 ) ,溃疡型及反流型与正常对照组的胃排空比较差异无显著性 (P >0 .0 5 ) ,运动障碍型较溃疡型及反流型患者胃排空延迟 (P <0 .0 5 ) ,溃疡型与反流型患者的胃排空比较差异无显著性 (P >0 .0 5 )。结论 :部分FD患者存在胃运动障碍 ,但胃运动障碍不是FD单一的发病因素。
Objective: To understand the different clinical types of functional dyspepsia (FD) gastric emptying, explore the etiology of FD. Methods: The number of barium excreted in the stomach of 6 healthy volunteers and 35 FD patients (10 cases of dyskinesia, 11 cases of ulcer and 14 cases of reflux) were measured by radioimmunoassay. Results: The gastric emptying in FD group was significantly delayed compared with that in normal group (P <0.05). The dyskinesia group was significantly delayed in gastric emptying compared with normal control group (P <0.05), and the ulcer type and reflux type There was no significant difference in gastric emptying between the two groups (P> 0.05). The patients with dyskinetic dysfunction had delayed gastric emptying (P <0.05), ulcerative type and anti-reflux There was no significant difference in gastric emptying between flow-type patients (P> 0.05). Conclusion: Some FD patients have gastric dyskinesia, but gastric dyskinesia is not the single factor of FD.