功能性消化不良中医证型与胃动力学的关系及其临床意义探讨

Relationship Between Chinese Medical Syndromes and Gastric Kinetics of Functional Dyspepsia and Its Clinical Significance

目的探讨功能性消化不良(FD)中医辨证分型与胃动力障碍的关系。方法采用胃B超显影剂实时观察80例患者和12例健康自愿者胃半排空时间(GET1/2)、胃窦收缩频率(ACF)、胃窦收缩幅度(ACA)及胃窦运动指数(MI)。其中80例FD患者按中医辨证分为脾胃虚弱型、肝胃不和型及脾胃湿热型。结果脾胃虚弱型的GET1/2、ACF、ACA及MI均明显低于其他证型和健康自愿者(P<0.05,P<0.01)。结论FD的3个证型中,脾胃虚弱型有明显的胃动力障碍,其次为肝胃不和型、脾胃湿热型。

ObjectiveThis paper studied the relationship between Chinese medical syndromes and gastric motility disorder. MethodsReal-time B-ultrasonographic observation was made to detect the gastric emptying half-time (GET1/2), antral contraction frequency(ACF), antral contraction amplitude(ACA) and motility index (MI)in 80 functional dyspepsia(FD) patients and 12 healthy volunteers. Functional dyspepsia was categorized on syndrome differentiation into spleen-stomach deficiency, liver-stomach disharmony, and spleen-stomach dampness heat syndromes. Results The GET1/2, ACF, ACA and MI dropped more obviously in those of spleen-stomach deficiency syndrome than those of other two syndromes and healthy volunteers (P<0.05, P<0.01). Conclusion Functional dyspepsia of spleen-stomach deficiency is present with significant gastric motility disorder, and the other two syndromes come next.