多虑平治疗功能性消化不良临床疗效观察

《多虑平治疗功能性消化不良临床疗效观察》由会员上传分享，免费在线阅读，更多相关内容在工程资料-天天文库。

1、多虑平治疗功能性消化不良临床疗效观察【摘要】目的探讨功能性消化不良（FD）的病因与心理社会的关系，比较消化内科常规治疗与抗抑郁、抗焦虑药物对其的疗效观察。方法对100例FD病人进行“四部问诊法”对病人进行心理评估，再将100例FD患者随机分入对照组（常规消化科治疗）、多虑平组（常规消化科治疗+多虑平），疗程为8周，治疗后再使用四部问诊法进行评估，来判断消化道的症状改善程度。结果FD患者通过四部问诊法确定是否伴有抑郁或（和）焦虑状态，FD患者通过抗抑郁或焦虑药物（多虑平）治疗8周后，消化道症状改善总有效率达81%,较对照组（60%）显

2、著提高，并且治疗前后通过四部问诊法患者抑郁焦虑症状改善情况差异存在显著性（P小于0.05）o结论FD与心理社会因素关系密切。在基层医院采取四部问诊法简单易于操作。FD患者普遍存在抑郁和焦虑状态，多虑平双向治疗抑郁、焦虑药物治疗FD能显著改善患者的精神和躯体症状。【关键词】功能性消化不良精神心理因素'‘四部问诊法”抗抑、郁焦虑药中图分类号：R57文献标识码：B文章编号：1005-0515（2011）2-058-02[Abstract】Goaldiscussionfunctionalitydyspepsia(FD)causeofdise

3、aseandpsychologicalsociety，srelations,comparedwithdigestioninternalmedicinedepartmentconventiontreatmentandanti-despondent,antianxietictoitscurativeeffectobservation.methodcarriesonufourto100exampleFDpatienttointerrogatethelaw”tocarryonthepsychologicalappraisaltothepat

4、ient,enters100exampleFDpatientalongwiththefuselagethecontrolgroup(conventionaldigestionbranchtreatment),toconsiderthoroughlyagaintheevengroup(conventionaldigestionbranchtreatment+toconsiderthoroughlyevenly),thetreatmentcourseis8weeks,afterthetreatment,usesfourtointerro

5、gatethelawagaintocarryontheappraisal,judgesdigestivetract"ssymptomimprovementdegree・Finally：TheFDpatientinterrogatesthelawthroughfourtodeterminewhethertobeaccompaniedbydespondentor(and)theanxiouscondition,theFDpatient(considersthoroughlyanti-despondentortheanxiousmedic

6、ineeven)treats8weekslater,thedigestivetractsymptomimprovesthetotaleffectivenesstoreach81%,comparesthecontrolgroup(60%)theremarkableenhancement,andaroundtreatsinterrogatesthelawpatientdespondentanxioussymptomimprovementsituationdifferenceexistencesignificancethroughfour

7、(Pissmallerthan0.05).ConclusionFDandthepsychologysocialfactorrelationsareclose・Adoptsfourinthebasicunithospitaltointerrogatethelawsimplesimplifyoperation.TheFDpatienthasdespondentandtheanxiousconditiongenerally,considersthoroughlytheevenbidirectionaltreatmentdespondent

8、,anxiouspharmacologicaltreatmentFDtobeableobviouslytoimprovepatientsspiritandthebodysymptom.功能性消化不良（FD）是临床上最常见的一种功能性肠