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目的了解胃肠动力障碍相关性疾病的临床诊治现状。方法通过对中国17个省市700家医院有消化不良症状的35834例患者进行问卷调查,了解胃肠动力相关性疾病上消化道症状的发生率,与职业和医院等级等的关系以及各种胃肠动力相关疾病出现上消化道症状的可能趋势与进食关系。结果 (1)在来就诊的患者中最常见的症状为餐后饱胀不适和早饱感,有器质性疾病的伴有消化不良症状的被调查者中以心血管疾病居多,63.14%患者的主要症状与进食有关;(2)三级医院的消化道内镜使用率略高于低级别的医院,促动力药的使用量远高于其他种类药物。结论胃肠动力障碍广泛存在各级医院的患者中,单独或合并于各种急慢性疾病,促动力药物在三级医院的使用量最大,多潘立酮是临床首选的胃肠促动力药物。
Objective To understand the clinical diagnosis and treatment of gastrointestinal motility disorders related diseases. Methods A total of 35834 patients with dyspeptic symptoms in 700 hospitals in 17 provinces and cities in China were surveyed to find out the incidence of upper gastrointestinal symptoms related to gastrointestinal motility-related diseases, the relationship with occupational and hospital grade, Intestinal motility related diseases appear on the possible trend of upper gastrointestinal symptoms and eating relationship. Results (1) The most common symptom in the visiting patients was postprandial fullness discomfort and early satiety. Among the respondents who had organic diseases accompanied by dyspepsia, the majority were cardiovascular diseases, and 63.14% Of the main symptoms associated with eating; (2) tertiary hospital endoscopy utilization slightly higher than low-level hospitals, the use of prokinetic drugs is much higher than other types of drugs. Conclusions Gastrointestinal motility disorders are widely found in patients at all levels of hospital, either alone or in combination with various acute and chronic diseases. Pro-active drugs are the most widely used in tertiary hospitals. Domperidone is the preferred drug for gastrointestinal motility.