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本文观察200例糖尿病患者经胃肠钡餐和纤维胃镜检查发现胃肠功能异常87例(43.5%),主要为胃潴留、排空延迟或过速,胃十二脂肠球部张力低下及扩张,胃肠蠕动功能缓慢或过速等。其中有临床症状者86例(43.0%),主要为腹胀、恶心、呕吐、便秘、腹泻等。胃肠功能异常原因主要为糖尿病自主神经病变所致,并与胃肠道激素分泌异常、胃肠道细菌感染等有关。有效地控制病情可防止和延缓消化道并发症的发生发展。
This article observed 200 cases of diabetic patients by gastrointestinal barium meal and fiber endoscopy found gastrointestinal abnormalities in 87 cases (43.5%), mainly for gastric retention, emptying delay or over-speed, gastroduodenal enteropathy Department of tension and dilatation, Gastrointestinal motility slow or too fast. Among them, there were 86 cases (43.0%) with clinical symptoms, mainly abdominal distension, nausea, vomiting, constipation and diarrhea. Abnormal gastrointestinal function mainly due to diabetic autonomic neuropathy caused by abnormal secretion of gastrointestinal hormones, gastrointestinal bacterial infection and so on. Effective control of the disease can prevent and delay the occurrence of gastrointestinal complications.