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近10多年来,人们已清楚地认识到,在糖尿病人,尤其是病程长的胰岛素依赖型糖尿病(IDDM)伴发自主神经病变、周围神经病变、视网膜病变及肾脏病变的病人,也常同时伴有胃肠道运动功能障碍。且经研究表明,这种胃肠道运动功能障碍并非由于胃肠道本身的器质性病变引起,而与迷走神经损害有关。了解此合并症的临床意义在于首先解释了许多糖尿病人未发现任何胃肠道器质性病变而反复发作的消化道症状,且根据其发病机制,寻求了一些较为有效的治疗方法;同时,糖尿病胃自主神经功能障碍的诊断为判定糖尿病性自主神经病变增添了一个辅助手段。
In the past decade or so, it has become clear that in patients with diabetes mellitus, especially those with long-duration insulin-dependent diabetes mellitus (IDDM) with autonomic neuropathy, peripheral neuropathy, retinopathy and nephropathy, Have gastrointestinal motility disorders. And studies have shown that this gastrointestinal motility disorder is not due to the organic gastrointestinal tract itself caused by lesions, but with the vagus nerve damage. To understand the clinical significance of this complication is to explain many of the diabetic patients without any gastrointestinal tract organic disease repeated episodes of gastrointestinal symptoms, and according to its pathogenesis, to find some more effective treatment; the same time, diabetes The diagnosis of gastric autonomic dysfunction adds an adjunct to the judgment of diabetic autonomic neuropathy.