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目的：探讨胃排空试验对糖尿病患者胃轻瘫的诊断意义。方法：观察８０例糖尿病住院病人的胃排空试验，患者空腹１２ｈ后进餐，并摄入含１０条硫酸钡条胶囊，透视前加服少量稀钡增加显示，分别于 ０、２．４、６ ｈ透视记录胃内钡条数并摄卧位腹部平片；又作糖尿病胃轻瘫相关因素分析，包括年龄、病程，有无消化道症状、神经损害，餐后２ｈ血浆胃动素测定。结论：胃排出全部钡条时间，４１例在餐后≤４ ｈ、７例在餐后 ６ ｈ、３２例在餐后 ６ ｈ以上。结论：表明糖尿病胃轻瘫发病率与年龄大、病程长、胃肠道症状呈正相关，与自主神经病变发生率密切相关。
Objective: To investigate the significance of gastric emptying test in the diagnosis of gastroparesis in diabetic patients. Methods: The gastric emptying test was performed in 80 patients with diabetes mellitus. The patients underwent fasting for 12 hours and then consumed 10 bars of barium sulphate. The anterior fluoroscopy plus a small amount of barium increased, respectively. At 0, h fluoroscopy gastric barium number and supine abdominal plain film; also for diabetic gastroparesis related factors, including age, duration, with or without gastrointestinal symptoms, nerve damage, postprandial 2h plasma motilin. CONCLUSIONS: Total gastric barium excretion was observed in 41 patients at postprandial ≤ 4 h, 7 at 6 h postprandial and 32 at 6 h postprandial. Conclusion: The incidence of diabetic gastroparesis and age, long duration, gastrointestinal symptoms were positively correlated with the incidence of autonomic neuropathy are closely related.