中西醫結合治療老年人功能性消化不良29例療效觀察

溫小秋+林日揚

【摘要】 目的：對中西醫結合治療老年人功能性消化不良的臨床效果進行觀察。方法：選取老年功能性消化不良患者58例，隨機將其分為對照組和治療組，各29例。對照組給予奧美拉唑腸溶膠囊及枸櫞酸莫沙必利分散片治療，治療組在對照組基礎上給予香砂養胃丸治療，比較兩組療效及不良反應發生情況。結果：治療組總有效率為93.10%，優于對照組的75.86%，差異有統計學意義（P<0.05）；治療組總不良反應發生率為6.90%，雖低于對照組的13.79%，但差異無統計學意義（P>0.05）。結論：中西醫結合治療老年人功能性消化不良可提高臨床治療有效率，且無嚴重不良反應，可臨床推廣應用。

【關鍵詞】 中西醫結合； 老年人功能性消化不良； 療效觀察

Clinical Observation on 29 Cases of Senile Functional Dyspepsia Treated by Combination of Traditional Chinese and Western Medicine/WEN Xiao-qiu，LIN Ri-yang.//Medical Innovation of China，2017，14（30）：106-108

【Abstract】 Objective：To observe the clinical efficacy of integrated traditional Chinese and Western medicine in the treatment of senile functional dyspepsia.Method：58 elderly patients with functional dyspepsia were selected，they were randomly divided into the control group and the treatment group，29 cases in each group.The control group was given Omeprazole Enteric-coated Capsules and Mosapride Citrate Dispersible Tablets，and the treatment group was given Xiangshayangwei Pills on the basis of control group，the effects and adverse reactions of the two groups were compared.Result：The total effective rate of the treatment group was 93.10%，which was better than 75.86% of the control group，the difference was statistically significant（P<0.05）.The total adverse reaction rate of the treatment group was 6.90%，which was lower than 13.79% of the control group，but the difference was not statistically significant（P>0.05）.Conclusion：The combination of traditional Chinese and Western medicine in the treatment of senile functional dyspepsia can improve the efficiency of clinical treatment，and no serious adverse reactions，can be popularized and applied in clinic.

【Key words】 Traditional Chinese and Western medicine； Senile functional dyspepsia； Curative effect observation

First-authors address：Chronic Disease Control Hospital in Baoan District of Shenzhen City，Shenzhen 518100，China

doi：10.3969/j.issn.1674-4985.2017.30.031

功能性消化不良（Functional dyspepsia，FD）又稱消化不良，是臨床上較為常見的一種胃腸功能性疾病，患者多表現上腹痛、脹、早飽、噯氣、惡心、嘔吐、食欲不振等不適癥狀，可單獨或以一組癥狀出現，餐后和空腹狀態時更加明顯。在病程中癥狀也可發生變化，起病多緩慢，經年累月，持續性或反復發作，不少患者有飲食、精神等誘發因素[1-2]。對本院內科收治的老年功能性消化不良患者29例進行中西醫結合治療，取得了良好的效果，現報道如下。

1 資料與方法

1.1 一般資料 選取2015年10月-2016年10月本院內科收治的老年功能性消化不良患者58例，納入標準：符合功能性消化不良RomeⅢ標準[3]；在過去的6個月內，≥3個月有餐后飽脹不適、早飽、上腹痛，上腹燒灼感等癥中的2項或1項，同時無形態學、生化學異常改變，無其他明顯原因可解釋此類癥狀的產生。排除標準：其他臟器及胃腸道疾病、糖尿病、腎臟病等患者。……