摘要
消化不良在人群中颇为常见，其处理是医疗服务中很大的负担。对年龄〉45岁或有报警症状的初发未经调查的消化不良者应立即行胃镜检查，以排除上消化道恶性肿瘤；对年轻且无报警症状者可行短期经验治疗。在我国，幽门螺杆菌“检测和治疗”策略的安全性和费用一效益比优势尚需进一步评估。本文对非溃疡性消化不良、功能性消化不良（FD）及其与慢性胃炎的关系进行简述，强调应对幽门螺杆菌阳性非溃疡性消化不良者行根除治疗。
Dyspepsia is common in the community, and its management represents a considerable burden on the health service. Individuals presenting for the first time with uninvestigated dyspepsia, age greater than 45 years, or alarming features require prompt upper gastrointestinal endoscopy to exclude gastroesophageal malignancy. For younger individuals without alarming features, short-period empirical treatment would be eligible. The safety and cost-effectiveness of Helicobacter pylori （H. pylori） ＂test and treat＂ strategy should be evaluated further in our country. The definitions of non-ulcer dyspepsia and functional dyspepsia as well as their association with chronic gastritis are outlined. Treatment of H. pylori in patients with non-ulcer dyspepsia has been emphasized.
出处
《胃肠病学》
2010年第1期5-7,共3页
Chinese Journal of Gastroenterology
