【摘要】 目的探讨高位脊髓损伤(SCI)患者进行胃部超声造影的可行性,并评估其胃排空功能。方法选择2019年3—12月中国康复研究中心北京博爱医院重症医学科高位SCI并机械通气患者33例(SCI组)和健康志愿者30名(对照组)进行胃部超声造影检查。观察胃底、胃体和胃窦的胃壁结构及胃窦蠕动情况,记录胃窦蠕动频率和胃排空时间。对两组的胃窦部蠕动频率和胃排空时间的结果进行统计分析。结果 SCI组31例顺利完成超声造影检查,胃底、胃体和胃窦部均获得完整诊断图像。SCI组胃窦部蠕动频率低于对照组,SCI组排空时间长于对照组,差异均有统计学意义(均P <0.05)。结论超声造影可以对高位SCI并机械通气患者进行胃部检查并评估胃排空功能。高位SCI者胃窦蠕动减少,胃排空时间延长。更多还原

【Abstract】 Objective To investigate the feasibility of contrast-enhanced ultrasound in patients with high-level spinal cord injury(SCI) and to evaluate gastric emptying function. Methods From March to December 2019, 33 patients(SCI group) and 30 healthy volunteers(control group) with high-level SCI and mechanical ventilation in the Department of Critical Care Medicine, Beijing Bo′ai Hospital, China Rehabilitation Research Center were selected for gastric contrast-enhanced ultrasound examination. The gastric wall structure of gastric fundus, gastric body, gastric antrum and gastric antrum peristalsis were observed. The peristalsis frequency and gastric emptying time were recorded. The results of gastric antrum peristalsis frequency and gastric emptying time were statistically analyzed. Results In the SCI group,31 cases successfully completed contrast-enhanced ultrasound, and obtained complete images of gastric fundus, gastric body and gastric antrum. The peristalsis frequency of gastric antrum in SCI group was lower than that in control group and the gastric emptying time of SCI group was longer than that of control group, with all statistically significant differences(all P < 0.05). Conclusion Contrast-enhanced ultrasound can perform gastric examination and evaluate gastric emptying function in patients with high-level SCI and mechanical ventilation. Gastric antrum peristalsis is reduced and gastric emptying time is prolonged in patients with high-level SCI.更多还原