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糖尿病与胃轻瘫的关系
引用本文:童钟杭.糖尿病与胃轻瘫的关系[J].科技通报,1999,15(6):457-461,462.
作者姓名:童钟杭
作者单位:浙江大学医学院附属第一医院!浙江杭州310003
摘    要:介绍了糖尿病与胃轻瘫的关系。糖尿病胃轻瘫的发病机理可能与糖尿病植物神经病变、平滑肌变性、高血糖等有关。诊断胃排空时间的方法有X线监视、胃肠电分析、B型超声及核素标记的试餐(金标准)。采用促胃动力药物如胃复安、多潘立酮、西沙比利、红霉素入Renzapride对糖尿病胃轻瘫有一定的疗效。一旦被诊断为糖尿病胃轻瘫,宜及早使用促胃动力药,可改善糖尿病胃轻瘫的大部分症状和体征。

关 键 词:糖尿病  胃轻瘫  消化道动力异常  糖尿病并发症
文章编号:1001-7119(1999)06-0457-06

Relationship Between Diabetes Mellitus and Gastroparesis
TONG,Zhong,Hang.Relationship Between Diabetes Mellitus and Gastroparesis[J].Bulletin of Science and Technology,1999,15(6):457-461,462.
Authors:TONG  Zhong  Hang
Abstract:The correlation between Diabetes mellitus and gestroparesis is introduced.The etiology and pathogenesis may be related with vegetable neuropathy,smooth muscle degenration,hyperglycemia and so on.The diagnostic methods of gastric emptying time are x ray monitor,gastroenteric analysis,B type ultrasonography and isotope labelled meal (golden standard).Some gastrokinetic agents,such as metodopramide domperidone, cisapride,erythromycin and Rengaapride,have a certein curetive effect to treating diabetic gastroparesis.Once diabetic gastropraesis is diagnosed,early adminstration of gastrokinetic drugs is necessary.Thus,a lot of symptoms and signs of diabetic gastroparesis can be reversed.
Keywords:diabetes  mellitus  gastroparesis  kinetic  abnormality
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