氟哌噻噸美利曲辛治療功能性消化不良的療效研究.pdf

1、溫州醫(yī)學院碩士學位論文氟哌噻噸美利曲辛治療功能性消化不良的療效研究姓名：殷勤申請學位級別：碩士專業(yè)：內(nèi)科學（消化）指導教師：吳建勝20090501溫州醫(yī)學院碩士學位論文Researchonthee舵ctsofflupentixolmeli仃acenintreatingfunctionaldyspepsiaDiseaseAbstractObjective：Theaimofthisstudywastoevaluatetheeffectsof

2、flupentixolmelitracenintreatingfunctionaldyspepsiaDiseasewhich、舫tllanxiety—depressionandduddatethemechanismMethods：1Weconductedatrialinvolving66outpatientswitIlfunctionaldyspepsiaDiseasewhichwitllanxietydepressionandthes

3、eoutpatientswerediagnosedaccordingtoCCMD3，RomanIHandHAMDscalescoretheseoutpatientsweredividedintocontrolgroup(30cases)andtreatmentgroup(36cases)atrandomtheirage，Genderdiseaseseverityhavenosignificantdifference(P005)allpa

4、tientsweregiventheroutinemedicinetreatment：acidinhibitorydrugsand／orpromotinggastrointestinaldynamicagentflupentixolmelitracenwerealsogivenorallybideverydaytogetherwiththeabovetreatmentintreatmentgroupforeightweeks2group

5、sweregivenpsychologicaltherapytobreaktheviciouscircleabouttheinteractionofpsychologyandphysicalbody：guidingpatientsdistractattentionworking，learningwi廿lactiveattitude，regardthemselvesasnonpatients2EvaluatethedegreeofFDby

6、thetotalscoresofseveralgastrointestinalsymptomsasdiscomfortaftermeals，epigastricpain，earlysatietyandupperabdomenburningsensation，evaluatethedegreeofthedepressionlevelbyHAMD，evaluatethedegreeofthesideeffectbytheTFSS3Evalu

7、atethediseaseseveritychangessituationaSthegastrointestinalsymptomsthethedepressionlevelandthesideeffectatthetimeofgoingdownthegroup(the0thweek)the4thweekandthe8thweekaftertreatmentResults：ResultsIntreatedgroupof36cases，1

8、3casesweredifficultandcomplicatedillnessAfter4weeks，theCUrerateswere3056％(11／36)’therewere6caseswithmarkedeffect(1667％)(Ocasesweredifficultandcomplicatedillness)，thetotalobviouseffectiveratewas4723％。After8weeks，thecurera

9、teswere5556％(20／36)(Ocasesweredifficultandcomplicatedillness)，therewere9cases謝tllmarkedeffect(25OO％)(3casesweredifficultandcomplicatedillness)，thetotal0bviOUSeffectiveratewas8056％Incontrolledgroup，therewere30casesand10ca