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目的探讨糖尿病患者病程、体质指数(BMI)、并发症与胃动力的相关性,为糖尿病患者胃轻瘫(DGP)的防治提供理论依据。方法 2型糖尿病住院患者60例,观察糖尿病患者年龄、BMI、病程、并发症等和胃窦收缩频数的相关性。以B超检测胃窦收缩频数及胃排空时间。结果 60例2型糖尿病患者胃排空时间延长、胃动力减弱21例(35%),糖尿病病程<1、1~5年、>5年者胃动力减弱分别为1、5、15例。病程、周围神经病变、微血管病变与胃动力减弱有相关性(r=0.608,-0.269,-0.279,P均<0.05)。大血管病变、BMI与胃动力无相关性(r=-0.053,-0.016,P均>0.05)。结论糖尿病患者病程、周围神经病变、微血管病变与DGP有相关性,与BMI无关。
Objective To investigate the correlation between course of disease, body mass index (BMI), complications and gastric motility in patients with diabetes mellitus, and to provide a theoretical basis for the prevention and treatment of gastroparesis (DGP) in diabetic patients. Methods Sixty hospitalized patients with type 2 diabetes mellitus (T2DM) were enrolled in this study. Age, BMI, course of disease, complications and the frequency of gastric antrum contractions were observed. B-ultrasound detection of gastric antrum contraction frequency and gastric emptying time. Results The gastric emptying time was prolonged in 60 patients with type 2 diabetes mellitus, the gastric motility was weakened in 21 cases (35%), the duration of diabetes mellitus was less than 1 year, 1-5 years, and the gastric motility weakened in 5 years was 1,5,15 cases. Course of disease, peripheral neuropathy, microvascular lesions and decreased gastric motility (r = 0.608, -0.269, -0.279, P all <0.05). There was no correlation between BMI and gastric motility in macrovascular disease (r = -0.053, -0.016, P> 0.05). Conclusion The course of diabetic patients, peripheral neuropathy, microvascular disease and DGP have a correlation, has nothing to do with BMI.