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功能性消化不良(functional dyspepsia,FD)是消化科最常见的一组症状群,包括上腹痛或上腹不适、腹胀、早饱、嗳气、恶心、呕吐、反酸、烧心等,持续4周以上。肠易激综合征不属于此。过去曾称为非溃疡性消化不良,因其含义不清,渐被FD取代。 1 FD分型 1.1 溃疡型消化不良表现为反酸、饥饿痛或夜间痛、烧心等类似消化性溃疡的症状。 1.2 动力紊乱型消化不良又称运动障碍型消化不良,主要表现为胃轻瘫或上消化道动力失调,如腹胀、早饱、嗳气、恶心、呕吐等。 1.3 胃食管反流型消化不良表现为烧心、反酸、胸骨后疼痛或不适、食物反流等。 1.4 吞气症表现为反复嗳气、腹胀、恶心等。
Functional dyspepsia (FD) is the most common group of symptoms of digestive diseases, including upper abdominal pain or upper abdominal discomfort, abdominal distension, early fullness, belching, nausea, vomiting, acid reflux, heartburn and more for more than 4 weeks . Irritable bowel syndrome does not belong to this. Past known as non-ulcer dyspepsia, because of its unclear meaning, gradually replaced by FD. 1 FD classification 1.1 ulcer dyspepsia manifested as acid reflux, hunger pain or nocturnal pain, heartburn and other symptoms similar to peptic ulcer. 1.2 Dystrophy dysmotility, also known as dyskinesia dyskinesia, mainly manifested as gastroparesis or upper gastrointestinal motility disorders, such as abdominal distension, early fullness, belching, nausea, vomiting and so on. 1.3 Gastroesophageal reflux dyspepsia manifested as heartburn, acid reflux, chest pain or discomfort, food reflux and so on. 1.4 Swallowing symptoms manifested as repeated belching, bloating, nausea and so on.