基础医学与临床 ›› 2007, Vol. 27 ›› Issue (3): 319-323.

• 研究论文 • 上一篇    下一篇

应用液体营养负荷试验评估健康人近端胃功能

郑可 柯美云 王智凤   

  1. 北京协和医院消化科 北京协和医院 北京协和医院消化科
  • 收稿日期:2006-01-04 修回日期:2006-08-28 出版日期:2007-03-25 发布日期:2007-03-25
  • 通讯作者: 柯美云

Liquid Nutrient Load Test in Assessment of Proximal Stomach Function in Healthy Subjects

  

  • Received:2006-01-04 Revised:2006-08-28 Online:2007-03-25 Published:2007-03-25

摘要: 目的 评价饮入速度不同的液体营养负荷试验(LNLT)对近端胃功能的影响。方法 40名健康受试者在不连续的2天中,分别以快速(100ml/min)和慢速(15ml/min)模式饮入热量密度为1kcal/ml的液体营养餐。记录阈值饮入量(TVDRI)、最大饮入量(MVDRI),同时B超测定相应的近端胃容积(TVPS和MVPS)。结果 ① 两种模式的饮入量与近端胃容积间均存在正相关性;② 慢速模式中的TVDRI及MVPS均小于快速模式、而慢速模式的MVDRI明显大于快速模式;(③ 慢速模式中TVDRI与TVPS 较快速模式更加接近,而快速模式中MVDRI与MVPS较慢速模式中更接近。结论 该两种速度模式的液体营养负荷试验测定的参数可反映近端胃感觉和胃适应性功能;胃感觉和胃适应性具有相关关系。慢速模式的阈值饮入量更敏感地反映近端胃感觉功能,而快速模式的最大饮入量更能反映近端胃适应性调节功能。

Abstract: Objective: To compare the difference effects on the proximal stomach between rapid (intake rate 100ml/min) and slow (intake rate 15ml/min) LNLT. Methods: Forty healthy subjects received both the rapid and slow LNLTs on two separate days. The caloric density of the nutrient was 1kcal/ml. The TVDRI and MVDRI were recorded, and the corresponding TVPS and MVPS were measured by B-ultrasound. Results: (1) There were positive correlations between TVDRI and TVPS , and between MVDRI and MVPS in both slow and rapid LNLTs. (2) TVDRI and MVPS in slow LNLT were significantly smaller than those in rapid LNLT, but MVDRI was significantly larger in slow LNLT than that in rapid LNLT. (3) TVDRI was much closer to TVPS in slow LNLT than those in rapid LNLT. But MVDRI was much closer to MVPS in rapid LNLT than those in slow LNLT. Conclusions: Both slow and rapid * 通讯作者 LNLTs could be used to evaluate the accommodation to a meal and visceral sensitivity of the proximal stomach. The visceral sensitivity is related to the accommodation function. TVDRI of slow LNLT is more sensitive in estimating the visceral sensitivity of the proximal stomach; MVDRI of rapid LNLT is more accurate in estimating the accommodation of the proximal stomach.