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目的分析功能性胃肠病(FGID)的临床特点,对其诊疗方法进行探讨。方法对2007-01-2009-12海伦市人民医院消化病房及门诊就诊的70例功能性胃肠病患者临床症状及治疗情况进行回顾性分析。结果 70例患者中男32例,女38例,年龄18～55岁,40%左右的患者有焦虑、紧张等精神因素。35%左右的患者胃黏膜活检可发现HP,25%左右的患者于胃酸分泌过多,胃肠道菌群失调等其他因素有关。在治疗中,50%左右的患者单独服用胃动力药有很好疗效,针对其他病因素辅以联合治疗,效果显著。结论 FGID临床表现的个体差异极大,它的发病存在易患群体,胃动力障碍被认为是FGID的主要病理生理机制之一。掌握主要矛盾,采取有针对性的综合治疗是处理FGID的关键。
Objective To analyze the clinical features of functional gastrointestinal disease (FGID) and discuss its diagnosis and treatment. Methods A retrospective analysis was performed on the clinical symptoms and treatment of 70 patients with functional gastrointestinal disease in the digestive ward and outpatient department of Helen Municipal People ’s Hospital from January 2007 to December 2009. Results Among the 70 patients, there were 32 males and 38 females, aged from 18 to 55 years. About 40% of the patients had anxiety and stress. About 35% of patients with gastric mucosal biopsy can be found HP, about 25% of patients in gastric hypersecretion, gastrointestinal flora and other factors. In the treatment, about 50% of patients taking gastric motility alone have a good effect, combined with other factors for the treatment of joint effects, the effect is significant. Conclusions The clinical manifestations of FGID vary greatly among individuals. Its incidence is predisposed to predominant individuals. Gastric motility disorder is considered as one of the major pathophysiological mechanisms of FGID. Master the main contradiction, to take targeted comprehensive treatment is the key to dealing with FGID.