肝硬化患者胃电图分析

EGG analysis of patients with cirrhosis

目的通过肝硬化与正常人之间的对照，了解ChildC级肝硬化患者的胃电图表现；同时探讨益生菌对ChildC级肝硬化患者胃动力障碍的作用。方法对45例ChildC级肝硬化患者行体表胃电图检查，120例健康志愿者作为正常对照。同时给45例ChildC级肝硬化患者“双歧杆菌”治疗3周，观察胃电图变化，以期证明肠内环境对肝硬化患者的胃肠动力是有影响的。结果ChildC级肝硬化患者餐前、餐后主频降低，餐后、餐前主功率降低，与正常对照组相比差异均有统计学意义（P〈0．05）。在予“双歧杆菌”治疗3周后，ChildC级肝硬化患者餐前、餐后主频和主功率均有所提升，与之前相比差异有统计学意义（P〈0．05）。结论ChildC级肝硬化患者的胃电图表现存在明显异常，益生菌对肝硬化胃动力紊乱有一定的治疗效果。

Objective Cirrhosis is a most common clinical disease. Child C level is the most severe level in cirrhosis. We try to compare with gastric mucosal lesion seen between cirrhotic patients and the normal people to investigate the eleetrogastrogram of the patients. Methods Cutaneous electrogastrography was performed in 45 Child C level patients, and 120 healthy volunteers served as normal controls. On the basic of routine protective of treatment, we add probiotics treat cirrhosis, then to analyse electrogastrography. Results In Child C level group, the dominant power ratio was reduced, and before and after meals, the dominant equency were decreased. The diference was statistically significant between Child C-level patients and the normal controls（ P〈0.05 ）. After protiotics treatment for 3 weeks, the dominant power ratio was enhanced, and the doniant equency, compared with the previous, was in- creased significantly（P〈0.05）. Conclusions The electrogastrogram is abnormal in Child C-level patients, probiotics have a therapeutic effect on gastric motility disorders of liver cirrhosis.