老年功能性消化不良患者的情感障碍及其治疗  

Treatment of the emotional disorder in patients with the senile functional dyspesia

作　　者：郑培奋[1] 黄丽君[1] 谢簝宝 程家欣[1] 戴一杨[1] 程玲[1] 

机构地区：[1]浙江医院,杭州市310013 [2]浙江老年病研究所,310013

出　　处：《实用老年医学》2001年第5期245-246,共2页Practical Geriatrics

摘　　要：目的　 探讨老年功能性消化不良 (FD)患者与情感障碍的关系以及抗抑郁治疗的重要性。　 方法　对 87例老年FD患者进行情感障碍的调查 ,并随机选择 80例内科其他系统老年病人作对照。以Sung抑郁自评量表 (SDS)作为抑郁状态诊断标准。对其中FD伴有抑郁状态的 36例患者 ,在对症治疗疗效不佳的基础上加用选择性 5 羟色胺再摄取抑制剂 (SSRIs)氟西汀进行治疗。比较治疗前后抑郁状态改善程度。　 结果　 ( 1)老年FD患者伴有情感障碍的患病率为 41 4% ( 36 / 87)明显高于老年内科其他系统病人的患病率 2 3 8% ( 19/ 80 ) ,P <0 0 5。( 2 )本实验中 ,氟西汀治疗抑郁状态总有效率为 88 9% ,且消化道症状改善较情感障碍症状改善为早。　 结论　情感障碍在老年FD患者发病中有重要地位。及时诊断及治疗抑郁状态非常重要。对老年FD伴情感障碍氟西汀有着很高的治疗价值。Objective To investigate the relationship between the senile functional dyspesia(FD)and emotional disorder,and the importance of the antidepressant therapy. Methods Eighty seven senile patients with FD were investigated for emotional disorder.The depression was diagnosed according to SDS.The patients who had depression were given Prozac(SSRIs)because the allopathy was not effective.We contrasted the meliorative degree before and after treatment. Results (1)The morbidity of senile FD accompanying the emotional disorder was higher than that in the disorders of other system in the sinile patients( P <0 05).(2)The overall effective rate of Prozac was 88 9%,and the gastrointestinal symptom was relieved earlier than the emotional disorder. Conclusions The emotional disorder is important in the senile FD patients.PROZAC is effective to emotional disorder in patients with senile FD.

关 键 词：功能性消化不良 情感障碍 患病率 氟西汀 老年人 

分 类 号：R57[医药卫生—消化系统]