非溃疡性消化不良84例临床分析

Clinical analysis of 84 cases of non-ulcerative dyspepsia

将８４例非溃疡性消化不良病人随机分为治疗组（４０例）和对照组（４４例），两组在各种临床类型构成比及年龄、性别之间差异无显著性（Ｐ＞０．０５）。对照组根据其临床类型分别选用促胃肠动力剂、Ｈ２受体拮抗剂、胃粘膜保护剂等药物，治疗组在上述治疗的同时均加用谷维素、多虑平或舒乐安定口服。１４天为１疗程，２疗程后进行观察总结。结果表明：治疗组治愈３３例，占８２％，好转６例，占１５．４％，无效１例，占２．６％。对照组治愈２９例（６５％），好转８例（１８．５％），无效７例（１６．５％）。两组比较，治愈率及总有效率差异均有高度显著性（Ｐ＜０．０１）。说明精神因素在消化不良的发生与发展过程中起到较重要作用。

?4 cases of non-ulcerative indigestion were divided randomly into treatment group(40 cases) and control group(44 cases). There were no significant difference in clinical types, age and sexes between two groups(P>0.05). Drugs such as promoting gastrointestinal dynamic agent, H2-receptor antagonist and protective agent for gastric mucosa were selected respectively in control group according to the clinical types and oryzanol, doxepin or estazolam were also given orally together with the above treatment in treatment group. One course was 14 days and summary was made after second course. results showed that there were 33 cured cases(82%), 6 improved cases(15.4%) and 1 ineffective case(2.6%) in treatment group and there were 29 cured cases(65%), 8 improved cases(18.5%),and 7 ineffective cases(16.5%) in control group. The difference was highly significant in cure rate and total effectiveness rate between two groups(P<0.01). It is illustrated that psychic factors plays an important role in the occurrence and development of dyspepsia.