| Objective:To discuss gastrointestinal motility of patients with type 2 diabetes by gastric filling ultrasound,and analyse the influential factors of type 2 diabetes.The aim is to provide objective diagnostic value of clinical treatment and curative evaluation.Methods: Totally 90 patients were involved as research group with type 2 diabetes who were admitted to the endocrinology department of our hospital,including 40 patients with diabetic gastroparesis by clinical diagnosis,and 50 patients with non-diabetic gastroparesis by clinical diagnosis.At the same time,45 healthy subjects were enrolled as the control group.The equipment was Mindray M9 T mobile color ultrasonograph.The probe was used for abdominal probe.The frequency was 3.5-5.0 MHz.In patients with type 2 diabetes,fasting glucose was measured before the use of gastric filling ultrasonography,and subjects were instructed to drink water before the use of contrast medium during the study to avoid the possible effects of contrast medium.All subjects fasted for more than 8 hours,drank 450 ml of 40 degrees of water in 4 min,and performed a single section of the antrum using flat lying,the left lobe of the liver,the long axis of the abdominal aorta,and the superior mesenteric artery as the standard section of the antrum.On the second day after completion of drinking of water in a patient with type 2 diabetic gastroparesis,proximal and distal gastric parameters were measured using the same method as described above.The test,F test,H test and the Spearman correlation analyses were selected according to the data type,and the difference was statistically significant at P<0.05.Results:1.In the group with type 2 diabetic gastroparesis,drinking of water was positively associated with S,D,S,ACA,ACF,and MI with a P value of less than 0.05,indicating a good association between drinking of water and gastric contrast agents.2.There was a statistically significant delay in proximal gastric emptying and slower rate of contraction in the group with type 2 diabetic gastroparesis,and in the group with type 2diabetic non-gastric paresis and healthy controls.3.The differences in ACF and MI in the group with type 2 diabetic gastroparesis were statistically significant compared with the healthy control group and the group without type2 diabetic gastroparesis,thus demonstrating that the distal gastric motor function was slower in the group with type 2 diabetic gastroparesis,and S was greater than in the other two groups.4.The ACA and MI were statistically significant in both men and women with type 2diabetic gastroparesis(P<0.05),with female patients having greater than male S nearness,D nearness,and S,and both ACA and MI smaller than male patients.5.There was a significant association between fasting glucose,2 h postprandial hour glucose,duration of illness,and gender with ACA and MI in the group with type 2 diabetic gastroparesis(P<0.05),as well as an excellent association between fasting glucose and S-hypertension(P<0.05).Conclusion:1.Surgical ultrasonography of gastric filling can detect gastric kinetic function changes in patients with type 2 diabetes,can provide important guidance for clinical evaluation of gastric kinetic function in patients with type 2 diabetes,can provide objective basis for clinical treatment and evaluation of efficacy,has clinical popularization application value.2.There is a good positive correlation between gastric kinetics in patients with type 2diabetic gastroparesis who drink both liquids and contrast agents.3.The proximal gastric area and diameter are larger in the group with type 2 diabetic gastroparesis and the proximal gastric contraction is slower and emptying delayed than in the group without gastroparesis.At the same time,distal gastric ACF and MI are lower,gastric motor function is slower,evacuation is delayed,regulatory capacity is impaired,and S is larger than in the other two groups.4.In the group with type 2 diabetic gastroparesis,the proximal gastric area and diameter are larger in women than in men,and the distal gastric ACA and MI are smaller in women than in men.5.Fasting glucose,2 h postprandial hour glucose,duration of illness,and sex are significantly associated with ACA and MI in the group with type 2 diabetic gastroparesis. |
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