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。
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.
出处
《医学与哲学(B)》
2008年第6期10-11,39,共3页
Medicine & Philosophy(B)