| 功能性消化不良346例临床分析 |
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| 引用本文： | 陈健芳,袁楚明,杨丹晓. 功能性消化不良346例临床分析[J]. 中国实用内科杂志, 2004, 24(1): 37-38 |
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| 作者姓名： | 陈健芳 袁楚明 杨丹晓 |
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| 作者单位： | 广东省揭阳市人民医院,522000 |
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| 摘 要： | 目的 探讨功能性消化不良 (FD)的病因 ,比较药物与精神心理疏导的临床反应。方法 对 346FD门诊病人 ,从精神心理指导 (启发开导和精神支持 )、生活指导 (生活饮食习惯 )及药物治疗 [安定、多虑平、西沙必利、法莫替丁、抗幽门螺杆菌 (H·pylori)药 ]三方面观察 ,比较其疗效。结果 治愈 2 2 5例 (6 5 % ) ,好转 5 2例 (15 % ) ,未愈 6 9例 (2 0 % ) ,总有效率 80 %。结论 FD是具有上腹部症状而无局部和全身器质性疾病证据的临床综合征 ,治疗上应重在精神心理指导 ,药物治疗宜简单 ,抗焦虑忧郁及促胃动力药物对多数患者有效 ,无需追求新药贵药。
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| 关 键 词： | 功能性 胃镜 胃动力障碍 消化不良 |
| 文章编号： | 1005-2194(2004)01-0037-02 |
| 修稿时间： | 2003-02-11 |
Functional dyspepsia:clinical analysis of 346 cases |
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| Chen Jianfang,Yuan Chuming,Yang Danxiao.Guangdong Jieyang Hospital,Jieyang ,China. Functional dyspepsia:clinical analysis of 346 cases[J]. Chinese Journal of Practical Internal Medicine, 2004, 24(1): 37-38 |
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| Authors: | Chen Jianfang Yuan Chuming Yang Danxiao.Guangdong Jieyang Hospital Jieyang China |
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| Affiliation: | Chen Jianfang,Yuan Chuming,Yang Danxiao.Guangdong Jieyang Hospital,Jieyang 522000,China |
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| Abstract: | Objective To study the etiology of functional dyspepsia (FD) and compare the clincial responses of medical treatment and psychological intervention.Methods Psychological intervention (psychologic support),advices for daily life (eating habits) and medical treatment were administered to the 346 FD patients;and the therapeutic effects were compared.Results Complete remission:225 cases (65%);partial remission:52 cases (15%);no effect:69 cases (20%).The overall effective rate was 80%.Conclusion FD is a clinical syndrome focusing in upper abdomen,but without local or systematic evidence Psychological treatment is stressed. |
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| Keywords: | Functional Gastroscope Gastric kinetic disorder Dyspepsia |
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