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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。
Objective To investigate the etiology of functional dyspepsia (FD) and to compare the clinical response of drug and psychosocial evacuation. Methods A total of 346 FD outpatients from psychiatric guidance (inspired enlightenment and mental support), life guidance (lifestyle and diet) and drug treatment [diazepam, doxepin, cisapride, famotidine, anti-Helicobacter pylori (H · Pylori) drugs] three aspects of observation, compare its efficacy. Results 225 cases (65%) were cured, 52 cases (15%) were improved, 69 cases (20%) were cured, and the total effective rate was 80%. Conclusion FD is a clinical syndrome with evidence of upper abdomen without local and systemic organic disease. Treatment should focus on mental and psychological guidance. Drug therapy should be simple, anti-anxiety and depression and promoting gastric motility drugs effective in most patients. Pursuit of new drugs expensive medicine.