症状可以预测糖尿病患者的延迟胃空化:一项多中心研究重温胃衰竭
Chen-Shuan Chung1,2, Jui-Sheng Hung3, Ming-Hung Hsu4
1Division of Gastroenterology and Hepatology, Department of Internal Medicine, Far Eastern Memorial Hospital, New Taipei City, Taiwan.
Journal of neurogastroenterology and motility
|October 13, 2025
概括
通过胃衰竭枢机症状指数 (GCSI) 测量的特定症状可以帮助预测糖尿病患者的延迟胃排空. GCSI可以作为糖尿病胃衰竭的有用查工具.
科学领域:
- 胃肠病学 胃肠病学
- 糖尿病学 糖尿病学
- 临床医学 临床医学
背景情况:
- 胃衰竭 (GP) 是糖尿病的一种并发症.
- 识别GP的预测症状对于早期检测和管理至关重要.
研究的目的:
- 为了确定胃衰竭枢机症状指数 (GCSI) 的特定症状是否预测了延迟的胃排空.
- 为了确定糖尿病队列中胃衰竭的患病率.
主要方法:
- 从多中心横截面队列中招募糖尿病患者.
- 使用GCSI评估症状,使用光学扫描 (GES) 进行胃空化.
- 根据GES参数定义的GP (T1/2>>85分钟和/或3小时胃保留>8%).
主要成果:
- 延迟胃排空 (21.01%) 与较高的脏病发病率和较低的白蛋白水平有关.
- 恶心,吐,吐,胃充满,进食后充满和食欲丧失在异常GES的患者中更为普遍.
- 较高的GCSI得分独立预测了延迟的胃排空 (P=0.028).
- 在GCSI显示为GP中等预测能力 (AUC=0.672).
- 一般病患的患病率 (GCSI ≥1.78和GES异常) 为16.67%.
结论:
- 特定的心脏症状和整体GCSI得分预测糖尿病患者的胃空气延迟.
- GCSI可以是一个有价值的查工具,用于识别糖尿病胃.
- 糖尿病患者有枢纽症状需要进行GES评估.
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