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1、多潘立酮联合阿米替林治疗功能性消化不良临床对照探究[摘要]目的观察多潘立酮联合阿米替林治疗功能性消化不良(FD)临床效果及不良反应情况,探讨其临床价值及意义。方法将120例FD患者随机分为观察组和对照组,对照组60例均给予单一多潘立酮口服治疗,观察组在此基础上加用阿米替林治疗,观察两组患者治疗21d后临床效果、症状改善情况及不良反应情况,并进行对比分析。结果观察组有效率为96.67%(58/60),对照组有效率为78.33%(47/60),两组有效率比较有显著差异(P<0.05);观察组治疗后症状积分明显低于对照组,组间比较有显著差
2、异(P<0.05);两组不良反应发生率比较无显著差异(P>0.05)。结论多潘立酮联合阿米替林治疗FD具有疗效好、作用快、毒副作用少等优点,是目前治疗FD的一种较佳治疗方案,值得临床推广应用。[关键词]功能性消化不良;多潘立酮;阿米替林[中图分类号]R975[文献标识码]B[文章编号]1673-9701(2011)35-60-02TheClinicalControlStudyofDomperidoneCombinedAmitriptylineinTreatmentofFunctionalDyspepsiaCHENTaolSHENLi
3、li2l.TenWardofRongjunHospitalinZhejiangProvince,Jiaxing314000,China;2.TheSenileWardofRongjunHospitalinZhejiangProvince,Jiaxing314000,China[Abstract]ObjectiveToobservetheclinicaleffectandsideeffectsofcombinedamitriptylineanddomperidonetreatmenttofunctionaldyspepsia(FD)t
4、ostudyitsclinicalvalueandsignificance・MethodsAllof120patientswithFDwererandomlydividedintotheobservationgroupandthecontrolgroup,60patientsinthecontrolgroupweregivenasingleoraldomperidonetherapy,thecontrolgroupweregiventheamitriptylineonthebasisoftheobservationgroup,cli
5、n-icalresuIts,improvementofsymptomsandadversereactionswereobservedandanalyzedafter21d・ResuItsTheeffectiverateoftheobservationgroupwas96.67%(58/60),andthatofthecontrolgroupwas78.33%(47/60),whichhadsignificantdifferencesamongthetwogroups(P<0.05);Thesymptomscoreoftheobser
6、vationgroupaftertreatmentwassignificantlylowerthanthatofthecontrolgroup,whichweresignificantlydifferent(P<0.05);Theincidenceofadversereactionsamongthetwogroupshadnosignificantdifference(P>0.05)・ConclusionForFD,domperidonecombinedwithamitriptylinetreatmentiseffective,fa
7、stacting,andlesssideeffects,whichisabettertreatmentforFDtreatment,beworthyofclinicalapplication.[Keywords]Functionaldyspepsia;Domperidone;Amitriptyline功能性消化不良(FD)是临床常见的一种胃肠动力障碍性疾病,是一种无器质性疾病的全身症候群,临床主要表现为持续性或反复发作性上腹不适、疼痛、胀气、早饱、反酸、烧心、恶心、呕吐等一系列症状,西药多潘立酮可有效改善胃动力、调节肠胃运动,但单一
8、用药治疗效果欠佳[1]。近年来我科采用了多潘立酮联合阿米替林治疗方案治疗FD,临床上取得了满意效果,本文观察了60例经多潘立酮联合阿米替林治疗FD的临床疗效与不良反应情况,并与同期采用单一多潘立酮治疗FD的临床疗效进行了对比分析,旨在