胃节律紊乱综合征的胆囊运动研究

Study on motility of gallbladder in gastric dysrhythmia syndrome patients

目的：为了研究胃节律紊乱综合征患者的胆囊运动。方法：用99mTc放射性核素序列显像法对29例胃节律紊乱综合征（GastricdysrhythmasyndormeGDS）患者检测胃排空的同时对其空腹和餐后胆囊排空运动进行了前瞻性研究．并与15例正常人进行比较。在口服多潘立酮治疗之后，23例胃节律紊乱纠正的患者，重复上述检查．结果：GDS患者的胃、空腹和餐后胆囊排空分数明显低于正常对照组（P均＜0．01）。多潘立酮治疗后胃节律紊乱纠正的患者，在其胃运动障碍纠正的同时，空腹和餐后胆囊排空分数显著性提高（P均＜0．01），而与正常人比较，差异无显著性（P均＞0．05）。结论：GDS患者在男运动障碍的同时存在着胆囊运动障碍。

Objective: To study the motility of gallbladder in gastric dysrhythmia syndrome patients. Method: The motility of precibal and postcibal gallbladder as well as postcibal stomach in 29 patients with gastric dysrhythmia syndrome (GDS) were prospectively studied using 99mTc radionuclide scintigraphy and analytically as compared with those of 15 normal controls. After domperidone therapy, the examinations were repeated in 23 GDS recovered patients. Results: The ejective fractions (EF) of precibal and postcibal gallbladder as well as postcibal stomach in GDSpatients were obviously lower than those of normal controls (P＜0.01). After domperidone therapy, the ejective fractions of precibal and postcibal gallbladder as well as postcibal stomach were elevated significantly in GDS recovered patients (P＜0.01) and no obvious difference was seen as compared with normal controls (P＞0．05). Conclusion: There existed gallbladder dyskinesia synchronously with gastric dysmotility in GDS patients.