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目的 :探讨功能性消化不良 (FD)与十二脂肠胃反流及胃窦动力学的关系。方法 :用Bilitec 2 0 0 0型胆汁监测仪对 30例FD患者进行 2 4h胆红素监测 ,并于监测前 ,以胃动力诊断仪WDL 2 0 0 0对FD患者进行餐前、餐后胃窦动力学测定。 30名健康自愿者作为对照组。结果 :FD组胆汁反流各项指标均明显高于对照组 ,其中胃动动障碍型FD组在胆红素吸收值≥ 0 1 4的总时间百分比及胆汁反流次数显著高于溃疡型FD组和非特异性FD组。溃疡型FD与非特异性FD在胆红素吸收值≥ 0 1 4的总时间百分比指标无显著差异 ,在胆汁反流次数方面非特异性FD组显著高于溃疡型FD组。FD组胃动力低下者占 70 % (2 1 / 30 ) ,其中胃动力轻度低下者为 1 3 3 % ,胃运动节律异常者占 56 6 % ,与对照组比较差异显著 (P <0 0 5)。结论 :FD与胆汁反流有关 ;胆汁反流程度与FD分型有关 ,由重到轻依次为运动障碍型消化不良、非特异性消化不良、溃疡型消化不良 ;FD患者多有运动障碍
Objective: To investigate the relationship between functional dyspepsia (FD) and laparoscopic gastrointestinal reflux and gastric antrum dynamics. Methods: Bilitec 200 type bile monitor in 30 cases of FD patients were 24 h bilirubin monitoring, and before monitoring, gastric motor diagnostic WDL20 0 FD patients with pre-meal, postprandial stomach Sinusokinetic determination. Thirty healthy volunteers served as control group. Results: The indices of bile reflux in FD group were significantly higher than those in control group. The total time percentage of bile reflux and the frequency of bile reflux were significantly higher in FD patients with gastric dyskinesia than those with ulcer FD Group and non-specific FD group. There was no significant difference in the percentage of total time between ulcer FD and nonspecific FD in the case of bilirubin absorption ≥ 0 1 4, and the non-specific FD was significantly higher in ulcer-type FD than biliary reflux. 70% (21/30) patients with gastric motility were in FD group, of whom 13.3% had mild gastric motility, 56.6% had abnormal gastric motility, compared with the control group (P <0 0 5). Conclusions: FD is related to bile reflux. The degree of bile reflux is related to FD type. From light to light, it is dyskinesia of dyskinesia, nonspecific dyspepsia and dyspepsia of ulcer. FD patients often have dyskinesia