多潘立酮联合复方消化酶治疗功能性消化不良182例  

Combined therapy of domperidone and compound digestive enzymes for functional dyspepsia:an analysis of 182 cases

作　　者：姚慧静[1] 

机构地区：[1]泰山医学院附属泰山医院消化内二科,山东泰安271000

出　　处：《泰山医学院学报》2011年第6期461-463,共3页Journal of Taishan Medical College

摘　　要：目的观察多潘立酮联合复方消化酶治疗功能性消化不良的临床疗效和安全性。方法 2009年1月～2010年7月对182例功能性消化不良患者随机分为试验组(n=91)和对照组(n=91),两组均口服多潘立酮片,三餐饭前30 min服用10 mg;试验组加服复方消化酶,进餐后30 min服用1粒。4周后观察疗效。结果经过χ2检验,试验组疗效明显优于对照组。对上腹痛、上腹灼热感、餐后饱胀和早饱症状改善情况进行比较,试验组治疗前后的症状总积分及症状改善有效率与对照组比较差异有统计学意义(P<0.05),而且起效时间明显缩短。两组患者均未发现严重不良反应。结论多潘立酮联合复方消化酶治疗功能性消化不良安全有效,其疗效明显优于单用促动力药多潘立酮。Objective： To study the efficacy and safety of combined therapy of domperidone and compound digestive enzymes for functional dyspepsia.Mathods： Eighty-two patients with functional dyspepsia were randomly grouped into the experimental group（n=91） and the controls（n=91）.The patients in the control group were only given domperidone 10 mg 3 times per day 30 min before meals for 4 weeks.The patients in the experimental group were given 1 capsule of compound digestive enzyme 3 times a day 30 min after meals in addition to domperidone 10mg 3 times per day for four weeks.The therapeutic efficacy and side effects were compared between the two groups by chi square test.Results： The general therapeutic efficacy in the experimental group was superior to that of the controls（P0.05）.The symptoms of upper abdominal pain,abdominal distention,early satiety and stomach burn in the patients in the experimental group were more improved than those in the control group.The experimental group had shown shorter onset time than the controls.No severe side-effects were found in the both groups.Conclusion： Combined therapy of domperidone and compound digestive enzymes can more significantly improve general efficacy and symptoms in the patients with functional dyspepsia than single use of motility medicine domperidone.

关 键 词：功能性消化不良 多潘立酮 复方消化酶 

分 类 号：R57[医药卫生—消化系统]