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焦虑症患者胃动力的超声造影观察
Contrast-enhanced Ultrasound Observation of Gastric Motility in Patients with Anxiety
ES评分8
| DOI | |
| 刊名 |
Journal of International Psychiatry
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| 年，卷(期) | 2022, 49(4) |
| 作者 |
寇轩粉*,
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| 作者单位 |
河南科技大学第一附属医院 ; |
| 摘要 |
摘要目的：探讨焦虑症患者胃动力的超声造影特点。方法：本研究观察对象为我院2020年1月-2021年1月40例焦虑症患者以及40名无精神疾病及消化系统疾病的志愿者，分别设为焦虑组以及对照组。均进行胃肠超声助显影剂负荷实验，利用超声仪获取近、远端胃面积，胃后壁收缩、舒张时厚度，胃蠕动波凹陷时管径、胃蠕动波向幽门移动距离等，计算胃排空率（GRE）、胃壁增厚率以及胃动力指数（MI），并比较两组上腹痛综合征、餐后窘迫综合征等相关临床症状。结果：焦虑组30min、60min、120min时近端胃、远端胃GRE均显著低于对照组，差异具有统计学意义（P<0.05）；焦虑组胃壁增厚率、MI均显著低于对照组，差异具有统计学意义（P<0.05）；焦虑组上腹痛综合征、餐后窘迫综合征、食欲下降等发生率均显著高于对照组，差异具有统计学意义（P<0.05）。结论：超声造影是评价焦虑症患者胃动力的有效工具，相较于正常人群，焦虑症患者胃排空、蠕动功能更差，更易出现餐后窘迫综合征、食欲下降等症状。
[Abstract] Objective To explore the characteristics of contrast-enhanced ultrasound of gastric motility in patients with anxiety. Methods Forty anxiety patients and forty volunteers without mental illness and digestive system disease in our hospital from January 2020 to January 2021 were the observation objects of this study. They were set as the anxiety group and the control group, respectively. All carried out gastrointestinal ultrasound assisted imaging agent loading experiment. Use an ultrasound instrument to obtain the area of the proximal and distal stomach, the thickness of the posterior wall of the stomach during contraction and diastole, the tube diameter when the gastric peristaltic wave is sunken, and the distance that the gastric peristaltic wave moves to the pylorus. Calculate gastric emptying rate (GRE), gastric wall thickening rate, and gastric motility index (MI). The clinical symptoms of upper abdominal pain syndrome and postprandial distress syndrome were compared between the two groups. Results The GRE of proximal stomach and distal stomach in the anxiety group at 30min, 60min, and 120min were significantly lower than those of the control group, and the difference was statistically significant (P<0.05). The stomach wall thickening rate and MI of the anxiety group were significantly lower than those of the control group, and the difference was statistically significant (P<0.05). The incidences of upper abdominal pain syndrome, postprandial distress syndrome, and loss of appetite in the anxiety group were significantly higher than those in the control group, and the difference was statistically significant (P<0.05). Conclusion Contrast-enhanced ultrasound is an effective tool for evaluating gastric motility in patients with anxiety disorders. Compared with the normal population, patients with anxiety disorders have worse gastric emptying and peristaltic function, and are more likely to have symptoms such as postprandial distress syndrome and decreased appetite.
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| 关键词 |
关键词：超声造影；焦虑症；胃动力
Key words Contrast Ultrasound; Anxiety Disorder; Gastric Motility
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| 基金项目 | |
| 页码 | 643-646 |