论文部分内容阅读
目的探讨功能性消化不良的病因,比较药物与精神心理疏导的临床反应。方法对48例门诊病人,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、氯丙咪、西沙必利、法莫替丁、抗幽门螺杆菌3方面观察,比较其疗效。结果治愈32例(66.67%),好转9例(18.75%),未愈7例(14.58%),总有效率85.42%。结论功能性消化不良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。
Objective To investigate the etiology of functional dyspepsia and to compare the clinical response of drug and mental-psychological counseling. Methods A total of 48 outpatients from psychiatric guidance (inspired enlightenment and mental support), life guidance (lifestyle and diet) and medication (diazepam, clomipramine, cisapride, famotidine, anti-Helicobacter pylori 3 (66.67%), improved in 9 cases (18.75%), failed to heal in 7 cases (14.58%), the total effective rate was 85.42% .Conclusion Functional dyspepsia is a symptom of upper abdomen No local and systemic organic disease evidence of clinical syndrome, treatment should focus on mental and psychological guidance, drug treatment should be simple, anti-anxiety depression and gastric motility drug effective in most patients, without the pursuit of new drugs expensive medicine.