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- 저자 : ( Viacheslav Matianin ) (검색결과 1 건)
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( Viacheslav Matianin ),( Pavel Kosenko ),( Sergey Vavrinchuk ) 대한내과학회 2014 대한내과학회 추계학술대회 Vol.2014 No.1
Background: Evaluation of electrophysiological parameters of gastrointestinal tract motility in patients with axial hiatal hernia. Methods: Object of study is 20 patients with axial hiatal hernia. The studied phenomenon is electrophysiological indicators of gastrointestinal tract motility. The method of investigation is peripheral electrogastroenterography (PEGEG) with the help of “Gastroskan-HEV” device according to standard procedures. Static data processing is a discriminative analysis. Results: The analysis of peripheral electrogastroenterography (PEGEG) indicators for patients with axial hiatal hernia revealed statistically signifi cant changes of 22 indicators mainly due to changes of Pi, Pi/Ps, Pi/P(i +1) parameters and Krhythm. Signifi cant differences with the control group are revealed on basal and stimulated Pi, Pi/Ps, Pi/ P(i +1) parameters and Krhythm of stomach, duodenum and colon. There was a statistically signifi cant doubling in basal and stimulated values of Pi/P(i +1) of stomach / duodenum, indicating that there was a motor discoordination of gastroduodenal junction. Change in colon PEGEG indicators in our opinion has been associated with the presence of neuro-refl ex connections between the stomach and colon, and manifested in a signifi cant increase in the stimulated Pi/Ps colon index. During the discriminative analysis of PEGEG indicators the patients with axial hiatal hernia were distributed in a separate from the control group with 97.7% accuracy. Conclusions: The discriminative analysis of PEGEG indicators in patients with axial hiatal hernia revealed signifi cant changes of 22 PEGEG indicators mostly of stomach and colon, refl ecting violations of discoordination of gastrointestinal motor activity with a high degree of difference from the group of healthy individuals.
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