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功能性消化不良
引用本文:李岩. 功能性消化不良[J]. 医学与哲学(人文社会医学版), 2008, 29(6): 10-11
作者姓名:李岩
作者单位:中国医科大学附属盛京医院消化内科,辽宁沈阳110004
摘    要:功能性消化不良(FD)是临床上常见的症候群,其发病机制可能与胃及十二指肠的高敏感、胃肠运动障碍、幽门螺杆菌(H.pylori)感染、精神心理因素等有关。症状为反复发作的上腹部不适、疼痛、早饱、腹胀等。目前FD的诊断以罗马Ⅲ为标准,即无可以解释症状的器质性疾病的证据(包括内镜),诊断前症状至少出现6个月,近3个月症状符合以下1点或1点以上:餐后饱胀不适、早饱、上腹痛、上腹烧灼感。治疗以去除诱因及对症治疗为主,包括避免劳累及精神紧张,应用抑酸药、促胃肠动力药、根除H.pylori、西甲硅油乳剂、抗抑郁及中药等。

关 键 词:功能性消化不良  幽门螺杆菌  精神心理因素  罗马Ⅲ标准

Functional Dyspepsia
LI Yan. Functional Dyspepsia[J]. Medicine & Philosophy:Humanistic & Social Medicine Edition, 2008, 29(6): 10-11
Authors:LI Yan
Affiliation:LI Yan(Department of Gastroenterology, Shengjing Hospital, China Medical University, Shenyang 110004,China)
Abstract:Functional dyspepsia(FD) is a common syndrome in clinical practice, whose pathogenesis has not yet been completely clarified, of which gastric hypersensitivity, gastrointestinal movement disorders, H. pylori infection, psychological factors may play important roles. FD with the symptoms of upper abdominal discomfort, pain, satiety and distention, can be diagnosed by the consensus definitions of the Rome criteria III, and the treatment of which is based on its symptoms and removing cause, such as avoidance of nervous, application of drugs.
Keywords:functional dyspepsia   H. pylori   psychological factors   Rome III criteria
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