| Objective:Analysis the clinical characteristics and psychological treatment of functional dyspepsia: Mainly through the investigation of the prevalence of young, middle and old age between the three groups of patients, whether there is a difference between the gender of patients; The relationship between dietary behavior, dietary status, mental disorder and FD; on patients with mental disorder of young and middle-aged patients with FD given Deanxit in the morning and at noon each 1 piece of oral, 20 days for a course of treatment, and the treatment effect of self-control. Through statistical analysis, to observe the clinical features of FD patients and the clinical efficacy and feasibility of Deanxit associated with mental disorders in patients with FD. Methods:From November 2013 to November 2015, the patients with FD were selected from the outpatient clinic of the Department of internal medicine, No.1 Hospital of Jilin University. 590 FD patients were divided into young group(15-29 years old), middle age group(30-59 years old) and old age group(60-70 years old) according to their age. There was no special requirement between the three groups of patients, there was no significant difference in the level of the three groups(P>0.05). In the three groups of FD patients, complete records of gender, diet, diet behavior, mental disorders(anxiety and depression assessment SAS/SDS table), HP negative and positive, and so on. T The general situation(age, gender), prevalence related factors(dietary behavior, HP negative and positive, psychological factors) and the effect of antidepressant treatment were compared between the three groups. Which part of patients after at least two conventional drug treatment, symptoms continued for at least six months or more and no significant improvement in, such patients said intractable FD, compared the refractory FD occupied ratio between middle-aged group and youth group. The youth and middle group FD patients with SAS / SDS greater than 50 points to consider existential anxiety, depression and other mental disorders. FD patients with mental disorders in young and middle age were given general treatment combined with Deanxit in the morning and at noon 1 piece of oral, 20 days for a course of treatment, and the treatment effect of self control. Results:This study included 590 FD patients into the group, the young group 228 cases, accounting for 38.6%, the middle age group 259 cases, accounting for 43.9%, the elderly group 103 cases, accounting for 17.5%, the survey found that the prevalence of youth and middle group significantly increased. Young women in 136 cases, male 92 cases; 168 cases of middle-aged female patients, male 91 cases; 56 cases of elderly female patients,male 47 cases. The elderly group had no significant difference in the proportion of men and women, young and middle-aged female group were significantly more than men. Three groups were the main risk factors for depression, anxiety and other mental disorders, the second factors in the pathogenesis of youth group abnormal eating behavior, middle-aged group for HP infection, elderly group is organ degenerative changes, the lack of sports.FD patients with gastroscope inspection times and outpatient treatment times increased significantly, in old group is most prominent. Youth group in accordance with intractable FD patients 128 cases, middle-aged group, refractory 136 cases of patients, the elderly group(87 cases). In this survey, the complete self rating Anxiety Scale(SAS) and self rating Depression Scale(SDS) of young patients were 216 cases, of which 198 patients(91.7%) with anxiety and depression. And cooperate with Deanxit in the treatment of 20 days with a total of 178 cases, there were 108 female and 70 male patients. In the morning and at noon each meal served a piece of Deanxit. SAS/SDS normal(less than 50 points) and the improvement of their symptoms in 156 cases, the effective rate of 87.6%, invalid patients mainly because they can not take the medication and did not take the prescribed course of treatment. Completed self rating Anxiety Scale(SAS) and self rating Depression Scale(SDS) of middle-aged patients with 235 cases, of which 211 patients(89.8%) with anxiety and depression. Signed informed consent and received 20 days with Deanxit in the treatment of patients with a total of 185 cases, 118 cases were female and 67 were male. In the morning and at noon each meal served a piece of Deanxit. SAS/SDS normal(less than 50 points) and the improvement of their symptoms in 167 cases, the effective rate of 90.2%, the main reasons for the loss of patients, the information feedback. Statistical results showed that the FD patients with mental and psychological disorders were treated with Dai Lixin. The treatment effect was good, the symptoms relieved significantly, and the side effects were small.Conclusion:(1) the prevalence rate of young patients with functional dyspepsia is higher;(2) the prevalence rate of functional dyspepsia in the middle and young group was that female is significantly higher than that in male patients, the proportion of male and female in the elder group was equal;(3) functional dyspepsia and abnormal diet behavior,habits, psychological factors, Helicobacter pylori infection and so on are related; three groups of FD patients with psychological factors are particularly prominent; psychological treatment is particularly important;(4) patients with functional dyspepsia were significantly increased in gastroscopy and outpatient visits;(5)t’he treatment of patients with mental disorders in young FD patients have obvious curative effect with Deanxit... |
PDF Full Text Request