SCI患者胃肠传输功能检查及其临床意义

SCI in patients with gastrointestinal transit test and its clinical significance

目的：探讨SCI患者小钡条胃肠传输功能检查的效果及临床意义。方法：10例正常健康人组和35例SCI患者组，早餐时1次性吞服20条小钡条胶囊后开始腹部X线检查，直至80％的钡条排出。结果：健康人和SCI患者胃、小肠、结肠、直肠、全消化道通过的时间分别是186±66分钟、360±95分钟、2780±650分钟、101±52分钟、2880±645分钟和213±89分钟、396±109分钟、4220±1320分钟、615±214分钟、4420±932分钟。与健康组比较，SCI患者组小钡条在结肠内滞留时间明显长于健康人（p＜0．01），而在胃、小肠内滞留时间虽然有所延长，但差异无统计学意义（p＞0．05）。结论：小钡条胃肠传输功能检查图像清晰、定位准确、结果可靠，具有传输功能与形态兼顾的优点，能为SCI患者结肠传输功能滞缓分型提供可靠数据。

Objective：To explore the SCI patients with a small piece of barium gastrointestinal transit test results and clinical signifi -cance.Methods：10 cases of normal healthy subjects and 35 patients with SCI, group breakfast disposable swallow 20 small barium strip capsule after the start of abdominal X -ray, until 80%of barium discharging .Results：The healthy people and the patients with stomach , small intestine, SCI colon, rectum, digestive tract through time were （186 ±66） minutes, （ 360 ±95） minutes, （ 2780 ±650） mi-nutes, （ 101 ±52） minutes, （ 2880 ±645） minutes and （ 213 ±89） minutes, （ 396 ±109） minutes, （ 4220 ±1320） minutes, （ 615 ±214） minutes, （ 4420 ±932） minutes.Compared with healthy controls, SCI patients in group a small piece of barium in colonic retention time was significantly longer than that in healthy people （ p〈0.01 ）, and in the stomach, small intestine retention time may be extended, but the difference was not statistically significant （ p〉0.05 ）.Conclusion：A small piece of barium examination of gastrointes-tinal transmitting function image clarity , accurate location , reliable, should have a transmission function and morphology of the advanta-ges, could provide SCI colon of patients with slow transmission function type to provide reliable data .