前言目的:老年反流性
食管炎患者胃固体排空状况和相关因素分析,为临床诊治实践提供依据.方法:确诊为
反流性食管炎的患者33例,采用13C辛酸呼气试验进行胃固体排空测定;1999年烟台会议制定的反流性食管炎分级标准进行内镜下分级;采用0-Ⅲ分法进行症状评分;Zung氏
抑郁焦虑自评量表进行心理因素评估.结果:老年反流性食管炎患者胃半排空时间(halfgastricemptyingtime,T1/2)和延迟相时间(lagphasetime,Tlag)与对照组比较有显著性差异(147.5±19.3vs106.4±17.1,t=7.51,P<0.01;60.3±10.3vs34.2±9.2,t=9.42,P<0.01);病例组症状评分>6分组的T1/2和Tlag均高于<6分组(161.6±22.4vs137.6±16.7,t=4.01,P<0.01;71.8±11.8vs52.9±9.2,t=9.42,P<0.01);病例组中内镜分极Ⅰ级的患者其T1/2和Tlag与Ⅱ+Ⅲ组比较无显著差异;病例组抑郁和焦虑评分与对照组比较,有显著性差异(56.8±12.3vs39.6±9.8,P<0.01;53.4±10.9vs...
AIM:Tostudythefunctionofsolidgastricemptyinginelderlypatientswithrefluxesophagitis(RE)anditscorrelativefactorsandprovideevidenceforclinicaldiagnosisandtreatments.METHODS:ThesolidgastricemptyingofREpatients(n=33)wascheckedby13C-octanoicacidbreathtest.Allthepatientshadbeenclassi-fiedbyendoscopyaccordingthestandardmadeonYantaiconferencein1999.Thesymptomswerescoredandthementalfactorswereevalu-atedthroughZungsself-ratingdepressionsca...