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目的:分析功能性消化不良(FD)及FD重叠症状患者消化不良症状的特点。方法:选择以消化不良为主诉就诊的患者200例,行罗马Ⅲ标准问卷调查并评分,比较各组间消化不良症状的严重程度、发作频度、发生比例,FD亚型构成比及情感障碍发生比例。结果:60%的FD患者重叠消化道其他部位症状,有和无重叠症状FD患者消化不良症状的严重程度、发作频度、发生比例及情感障碍发生比例比较,差异均不显著(P>0.05)。结论:有和无重叠症状FD患者的消化不良症状及病理生理机制可能相同,临床诊治原则相似。
Objective: To analyze the characteristics of dyspeptic symptoms in patients with functional dyspepsia (FD) and FD overlap symptoms. Methods: A total of 200 patients with dyspepsia as the chief complaint were enrolled in this study. The standard questionnaire of Rome Ⅲ was used and scored. The severity of dyspepsia, frequency of seizures, incidence, proportion of FD subtypes and affective disorders proportion. Results: There was no significant difference in the severity of dyspepsia, the frequency of seizures, the frequency of occurrence and the incidence of affective disorder among FD patients with overlapping and overlapping symptoms in 60% of FD patients, with or without overlapping symptoms (P> 0.05) . Conclusion: FD patients with and without overlapping symptoms may have the same dyspeptic symptoms and pathophysiological mechanisms, and the principles of clinical diagnosis and treatment are similar.