推拿和药物治疗对功能性消化不良患者的胃动力异常的影响
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上海市高等学校科学技术发展基金(96C08)


GUSFRIC ANTRUM MOTILITY IN FUNCTIONAL DYSPEPSIA EFFECTS OF MASSAGE THERAPY AND CISAPRIDE
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    摘要:

    目的:观察推拿和药物治疗对功能性消化不良患者的胃动力异常的影响。方法:选择各亚型功能性消化不良患者90例随机分成三组,并以30名健康者作对照。于治疗前后分别作空腹3小时及餐后2小时的胃动力检测。结果:FD患者(主要为运动障碍样型及反流样型)空腹3小时的移行性复合运动波MMC的数目显著小于正常对照组,餐后2小时的胃动力指标显著低于正常对照组。治疗一个月后,推拿组和服西沙必利组的胃动力指标及症状评分均较治疗前有显著改善(P均<0.01)而安慰剂组则无显著改善(P>0.05)。结论:推拿与西沙必利治疗可明显改善部分功能性消化不良患者的胃动力状态。消化期胃窦收缩幅度(P)收缩频率(F)及运动指数(MI)的胃动力指标可作为评估疗效的客观依据。

    Abstract:

    Objective The aim of the study is to investigate the Gas-trio antrum motility in healthy subject (HS) and in patients with functional despepsia (FD) and the effect on the motility of massuge therapy and cisapride. Methods 30 HS and 90 FD were studied by detecting Gastric antrun motility. Results the number of MMC for fasting 3 hours is reducedsignificantly and the gastric antrum motility parameters are reduced in patients with FD for postprandial 2 hours as compared to that of controls (P<0.01, all) After treatment by massage and cisapride, the gastric antrummotility parameters are increased significantly in patients with FD as compared with that before theatment. No significant difference is observed between the above parameters in patients with FD after treatment and before treatment by placebo. Conclusion the massage and cisapride therapy can improve the gastric antrum motility partial patients with FD. these parameters can be put to objetive basis evaluated the effectiveness of the treatment.

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朱樑,李石,张忠兵,陈伟忠,沈建伟,周信文,刘新华.推拿和药物治疗对功能性消化不良患者的胃动力异常的影响[J].医用生物力学,1999,14(1):20-24

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