67例老年人胃内24h胆汁监测分析

Monitoring of bile reflux into gastric cavity in 67 elderly subjects

目的通过对67例老年人进行24h胃内胆汁反流监测,分析正常人、反流症状患者、胃部手术后患者胃内胆汁反流情况。方法分别对24例正常老年人,33例有反流症状患者,10例胃部手术后患者进行胃内24h胆汁监测。分析胆汁反流总时间百分比、反流面积、面积指数、胆红素平均值。结果反流病组各项指标明显高于正常组(P<0.05);胃部手术后组除反流面积外,其余各项指标明显高于正常组(P<0.05)。结论本研究表明有明显反流症状的患者及施行过胃部手术的患者其胆汁反流监测指标绝大多数明显高于无反流症状的正常人。

Objective To analyze the intragastric bile reflux in aged people with different groups. Methods The changes of intragastric bile reflux during 24h were assessed by using ambulatory bilirubin monitoring techniques in 67 aged people （including 24 normal subjects, 33 cases with reflux symptom, 10 cases post gastrectomy）. Analyzing the total time percentages of intragastric bile reflux, reflux areas,indexs of reflux area and average values of bilirubin in different groups. Results The total time percentages of intragastric bile reflux,reflux areas,indexs of reflux area and average values of bilirubin were significantly greater in patients with reflux symptom and post gastrectomy than those in normal subjects. There is no significantly different between patients with reflux symptom and patients with gastrectomy. Conclusions The patients with reflux symptoms and post gastrectomy showed significantly higher index of bilirubin reflux monitoring than those of patients without reflux symptoms.