Gastric myoelectric activity changes following open abdominal surgery in humans.
Gastric myoelectric activity changes following open abdominal surgery in humans.
复制标题
人类开腹手术后胃肌电活动发生变化。
DOI：
10.1007/bf02091524
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发表时间：
1996
影响因子：
3.1
通讯作者：
Schirmer,BD
中科院分区：
文献类型：
--
作者：
Hotokezaka,M;Mentis,EP;Schirmer,BD
我们检查了11例经剖腹非胃手术（结肠手术）患者的空腹胃肌电活动的术后变化。在术后（POD）第1、2、3、5和7+（7-35）天进行记录，禁食过夜后持续1-1.5小时。患者在手术时在近端（N= 9）和远端（N=11）胃窦放置双极浆肌记录电极。对数据进行目视分析，并使用方差分析或比例检验进行统计分析。虽然在近端和远端胃窦中，从POD 1到7+，慢波频率有降低的趋势，但在慢波振幅或具有棘波活动的慢波百分比方面，术后几天之间没有观察到显著差异。在少数患者中，很少观察到几种类型的胃节律紊乱。我们的结论是，某些参数的空腹胃肌电活动没有改变足够的开腹手术后，充分反映临床恢复术后肠梗阻。
We examined the postoperative changes in fasting gastric myoelectric activity in 11 patients undergoing nongastric surgery (colon surgery) via celiotomy. Recordings were performed on postoperative days (POD) 1, 2, 3, 5, and 7+ (7–35) for 1–1.5 hr after overnight fasting. Patients had placement of bipolar seromuscular recording electrodes on the proximal (N= 9) and distal (N=11) antrum at the time of surgery. Data were analyzed visually and analysis of variance or tests of proportion were used for statistical analysis. Although there was a trend of decreasing slow wave frequency from POD 1 to 7+ in the proximal and distal antrum, no significant differences were observed in slow wave amplitude or in the percentage of slow waves with spike activity between postoperative day. In a few of the patients, several types of gastric dysrhythmias were infrequently observed. We conclude that certain parameters of fasting gastric myoelectric activity do not change sufficiently following open abdominal surgery to adequately reflect clinical recovery from postoperative ileus.