来自:中国糖尿病杂志 编辑:周旭萍 刘尚忠|点击数:|2015-03-11
·糖尿病临床研究·
【摘要】 目的 探讨糖尿病对老年患者发生胃食管反流的影响。 方法 选取糖尿病合并胃食管反流的老年患者(糖尿病+胃食管反流组)和单纯胃食管反流老年患者(胃食管反流组),各100例,施行食管动力检查、pH监测和胃镜检查,比较两组食管动力指标、pH检测结果及食管炎的严重程度。 结果 糖尿病+胃食管反流组食管收缩波传导速度低于胃食管反流组[(2.79±1.88) vs (4.55 ± 2.16) cm/s,P<0.05]。两组食管炎严重程度分布相一致。 结论 糖尿病不是导致老年病理性酸反流发生的决定因素。
【关键词】 糖尿病;胃食管反流;老年人
【Abstract】 Objective To explore the influence of diabetes mellitus(DM) on gastroesophageal reflux(GERD) in elderly patients. Methods 200 elderly patients were included in this study, of them 100 cases with gastroesophageal reflux and diabetes (DM+GERD group), 100 cases only with gastroesophageal reflux (GERD group). The esophageal motility index, the value of pH test and the severity of esophagitis were evaluated. Results The esophageal contraction wave velocity was lower in DM+GERD group than that in GERD group [(2.79±1.88) vs (4.55±2.16) cm/s, P<0.05]. The severity distribution of esophagitis between the two groups was the same. Conclusions Diabetes may not be the determining factor for happening pathological gastroesophageal reflux in elderly patients.
【Key words】 Diabetes mellitus; Gastroesophageal reflux; Elderly
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