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The Changes of Electrogastrographic Findings and Gastric Fullness before and after Rice Soup in Patients with Dysmotility-like Functional Dyspepsia
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KMID : 0614619980320060709
Abstract
¿ä¾à
¸ñÀû : ¿îµ¿Àå¾Ö¼º ¼ÒȺҷ® ȯÀÚ¿¡¼ ¿ì¸® ³ª¶ó »ç¶÷ÀÇ ÀÔ¸À¿¡ ¸Â´Â ½ÒÁ×À» ÀÌ¿ëÇÏ¿© À§
Àüµµ¿Í Æ÷¸¸°¨ÀÇ º¯È¸¦ ¾Ë¾Æº¸±â À§ÇÏ¿© º» ¿¬±¸¸¦ ½ÃÇàÇÏ¿´´Ù.
´ë»ó ¹× ¹æ¹ý : ¿îµ¿Àå¾Ö¼º ¼ÒȺҷ® ȯÀÚ 87¸í (³²:¿© 1:3.1, Æò±Õ¿¬·É 43.9¡¾12.6¼¼)°ú Á¤
»ó ´ëÁ¶±º 50¸í(³²:¿© 1:2.3, Æò±Õ¿¬·É 41.1¡¾10.0¼¼)À» ´ë»óÀ¸·Î °Ë»çÀü 10½Ã°£ µ¿¾È ±Ý½ÄÀ»
½ÃÇàÇÏ¿´´Ù. ½ÒÁ× 42.5 g(´Ü¹éÁú 2.1 g, Áö¹æ 1.3 g, ź¼öȹ° 29.5 g, ÃÑ¿·® 140 Kcal)À» ½Ã
Çè½ÄÀ¸·Î ÇÏ¿© ½ÄÀü ¹× ½ÄÈÄ 30ºÐ¿¡ visual analog scale (300 mm)¿¡ Æ÷¸¸°¨ Á¡¼ö¸¦ ±â·ÏÇÏ
°í, º¹ºÎ Ç¥¸é À§Àüµµ(Synetics»ç, Digitrapper EGG, version 6.30)¸¦ ÀÌ¿ëÇÏ¿© ½ÄÀü, ½ÄÈÄ °¢
°¢ 30ºÐ°£ À§Àüµµ¸¦ ÃøÁ¤ÇÏ¿© Á¤»ó ´ëÁ¶±º°ú ºñ±³ ºÐ¼®ÇÏ¿´´Ù.
°á°ú : Á¤»ó ´ëÁ¶±º¿¡ ºñÇØ ¿îµ¿Àå¾Ö¼º ¼ÒȺҷ® ȯÀÚ¿¡¼ ½ÄÀü Æ÷¸¸°¨ÀÌ À¯ÀÇÇÏ°Ô ³ô¾Ò°í
(97.5¡¾69.7 vs 43.1¡¾35.8, p<0.001), ½ÄÈÄ 30ºÐ¿¡¼µµ À¯ÀÇÇÏ°Ô ³ô¾Ò´Ù(142.0¡¾58.8 vs 101.9
¡¾37.8, p<0.001). ¿îµ¿Àå¾Ö¼º ¼ÒȺҷ® ȯÀÚ¿¡¼ Á¤»ó ´ëÁ¶±º¿¡ ºñÇØ ½ÄÈÄ 3 cpmÆÄ(62.8¡¾
25.2 vs 81.8¡¾20.0, p<0.001)¿Í power ratio (1.3¡¾1.3 vs 2.9¡¾3.5, p<0.01)´Â À¯ÀÇÇÏ°Ô °¨¼Ò
ÇÏ¿´°í, ½ÄÈÄ À§¼¸Æ(12.7¡¾11.3 vs 7.7¡¾8.9, p<0.01)°ú À§ºó¸Æ(23.8¡¾20.0 vs 10.6¡¾14.7,
p<0.001)ÀÌ À¯ÀÇÇÏ°Ô Áõ°¡ÇÏ¿´´Ù. ½ÄÀü À§¼¸Æ, À§ºó¸Æ°ú ½ÄÀü 3 camÆÄ´Â À¯ÀÇÇÑ Â÷ÀÌ°¡ ¾ø
¾ú´Ù. PDF´Â ½ÄÀü°ú ½ÄÈÄ¿¡ À¯ÀÇÇÑ Â÷ÀÌ°¡ ¾ø¾ú´Ù. µÎ ±º¿¡¼ ½ÄÀü°ú ½ÄÈÄ 3 cpmÆÄ¿Í Æ÷¸¸
°¨ »çÀÌ¿¡´Â »ó°ü °ü°è°¡ ¾ø¾ú´Ù.
°á·Ð : Çѱ¹Àο¡¼ ½ÒÁ×À» ÀÌ¿ëÇÑ º¹ºÎ üǥ¸é À§Àüµµ´Â ¿îµ¿Àå¾Ö¼º ¼ÒȺҷ® ȯÀÚ¿¡¼ À¯
ÀÇÇÑ ÀÌ»ó ¼Ò°ßÀ» ³ªÅ¸³»¾úÀ¸¸ç, ƯÈ÷ ½ÄÈÄ 3 cpmÆÄ¿Í power ratioÀÇ °¨¼Ò°¡ À¯ÀÇÇÏ¿´´Ù.
ÀÌ´Â ½ÄÈÄ 3 cpmÆÄÀÇ Á¤»óÀûÀÎ Áõ°¡°¡ ³ªÅ¸³ªÁö ¾Ê°í, ½ÄÈÄ À§¼öÃà·ÂÀÇ °¨¼Ò¸¦ ½Ã»çÇÑ´Ù°í
ÇÏ°Ú´Ù.
#ÃÊ·Ï#
Background/Aims : The aim of this study was to evaluate the changes of
electrogastrographic findings and gastric fullness before and after feeding rice soup in
patients with dysmotility-like functional dyspepsia (DLFD).
Methods : The study was performed on 87 patients with DLFD and 50 normal controls.
Abdominal surface electrogastrography was applied for 30 min in the fasting state and
for 30 min after feeding rice soup.
Results : Patients with DLFD showed higher scale of gastric fullness in fasting
baseline and postprandial 30 min, comparing to normal controls. Significant differences
were found between the patients with DLFD and normal controls in the percentage of
fed 3 cpm slow waves, in the power ratio, and in the percentage of fed bradygastria
and fed tachygastria. In the percentage of fasting 3 cpm waves, the percentage of
fasting bradygastria and fasting tachygastria, and the dominant frequency of either
fasting or fed electrogastrography, the patients and the normal controls did not show
difference. No correlation was found between the percentage of 3 cpm slow waves and
the scale of gastric fullness.
Conclusions : Patients with DLFD have a lower percentage of normal gastric slow
waves in the fed electrogastrography and have a lower power ratio.
Å°¿öµå
¿îµ¿Àå¾Ö¼º ¼ÒȺҷ®; À§Àüµµ; ½ÒÁ×; Dysmotility-like functional dyspepsia; Electrogastrography; Rice soup;
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