[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fnLKKa_hfQ9QEx-hUhe4v_8r5inRrlbE1OMY3p9OJXik":8,"$fuxXkYT-5usAjB40JrGSZadmPYPHA11Kbeu7mkOlrAOk":55,"$fNLDA9_Z6feVebiaxhT6uESWFvnyGyFsxRcNmjr0oR18":56,"$fzczRMJ6YcdKkvBgYhGNAZsnmDX3Ve_3EUncv5C2Om-M":60},{"code":4,"msg":5,"message":6,"data":6,"success":7},401,"认证失败，无法访问系统资源",null,false,{"code":9,"msg":10,"message":6,"data":11,"success":54},200,"操作成功",{"id":12,"specialistId":13,"specialistAssistants":14,"profilePhoto":15,"specialistName":16,"roleType":17,"adept":18,"hospital":19,"department":20,"postsTitle":21,"materialTotal":17,"videoTotal":22,"isConcern":7,"title":23,"coverVertical":18,"coverAcross":24,"directionMarker":25,"description":26,"vid":27,"time":28,"mediaType":25,"views":29,"likes":17,"isThumbsUp":7,"isCollection":7,"collections":17,"createTime":30,"seoTitle":18,"seoKeywords":18,"seoDescription":18,"shelvesTime":31,"menus":32,"menuId":34,"type":22,"quality":51,"commentCount":17,"isComment":25,"deviceType":52,"url":53},27133,997376,[],"https://yst.tos-cn-shanghai.volces.com/venue%2Fundefined%2F2025-12-16-16%3A11%3A04%2F76060049-1dff-40f7-88f3-c646c1d87a63.png","王红艳",0,"","新沂市人民医院","消化内科","主任医师",2,"功能性消化不良","https://cdn.yishi-tong.com/console/3/fSxSrGuyvWdLLFC0t6KuBKrZiFHu_3Ch.png",1,"WEBVTT\n\n00:00.768 --> 00:01.417\n大家好，\n\n00:01.468 --> 00:02.868\n那么我们今天呢，\n\n00:03.017 --> 00:03.342\n嗯，\n\n00:03.342 --> 00:06.768\n给大家分享一下关于中国消化不良统治指南。\n\n00:07.837 --> 00:08.437\n我们今天呢，\n\n00:08.437 --> 00:11.737\n主要从以下几个方面来给大家这个阐述，\n\n00:11.737 --> 00:12.887\n第一个是概述，\n\n00:13.137 --> 00:14.788\n第二个是临床表现，\n\n00:14.937 --> 00:16.437\n第三个是检查方法，\n\n00:16.638 --> 00:18.437\n第四个是诊断和鉴别诊断。\n\n00:19.184 --> 00:20.634\n第五是治疗措施，\n\n00:20.634 --> 00:21.784\n第六是预防措施。\n\n00:24.510 --> 00:26.010\n核先概述啊，\n\n00:26.010 --> 00:26.961\n我们都知道呢，\n\n00:26.961 --> 00:27.736\n消化不良呢，\n\n00:27.736 --> 00:31.211\n是指由胃和十二指肠功能紊乱引起的这个症状，\n\n00:31.561 --> 00:35.160\n没有器质性的这个病变的一种综合症。\n\n00:36.102 --> 00:36.227\n嗯，\n\n00:36.227 --> 00:37.152\n它这个分类呢，\n\n00:37.152 --> 00:39.402\n主要是根据这个症状持续时间，\n\n00:39.402 --> 00:43.251\n消化不良可以分为短暂性性消化不良和持续性消化不良。\n\n00:44.004 --> 00:45.129\n然后根据症状的类型，\n\n00:45.129 --> 00:48.203\n可以分为餐后不适综合症和上腹不疼。\n\n00:50.794 --> 00:51.669\n它的流行病史呢，\n\n00:51.669 --> 00:54.369\n主要是这个发病率还有影响的因素。\n\n00:54.369 --> 00:55.095\n发病率呢，\n\n00:55.095 --> 00:57.544\n主要是在这个人群当中呢，\n\n00:57.694 --> 00:58.744\n发病率比较高，\n\n00:58.794 --> 01:01.395\n别是在年轻人和中年人当中更为常见。\n\n01:02.278 --> 01:09.778\n那么影响的因素主要是消化不良发病与这个饮食、生活环境、药物等多种因素是相关的。\n\n01:11.661 --> 01:12.611\n它的发病机制呢，\n\n01:12.810 --> 01:13.460\n有很多，\n\n01:13.460 --> 01:15.861\n那么最常见的主要是胃动力的异常，\n\n01:16.161 --> 01:16.560\n嗯，\n\n01:17.361 --> 01:19.935\n还有就是比如说胃排空延迟啊，\n\n01:19.935 --> 01:21.361\n胃的顺应性降低啊。\n\n01:22.171 --> 01:23.671\n还有就是胃的感觉异常，\n\n01:23.722 --> 01:28.372\n就是消化不良存在的这个感觉过敏会刺激的耐受性比较低，\n\n01:28.372 --> 01:30.421\n导致的腹痛、腹胀等症状，\n\n01:30.671 --> 01:32.321\n还有肠道菌群的失衡。\n\n01:33.166 --> 01:34.115\n肠道菌群失衡呢，\n\n01:34.115 --> 01:35.716\n这个，\n\n01:35.966 --> 01:37.216\n也会导致这个。\n\n01:38.115 --> 01:40.240\n菌群的减少或者是有害菌增多呢，\n\n01:40.240 --> 01:41.716\n会这个引起消化不良。\n\n01:42.380 --> 01:43.130\n心理的因素呢，\n\n01:43.130 --> 01:45.231\n主要是这个焦虑啊，\n\n01:45.231 --> 01:47.930\n抑郁等情绪的异常也可以导致症状的加重。\n\n01:50.348 --> 01:50.649\n第二个呢，\n\n01:50.649 --> 01:51.649\n就是临床表现。\n\n01:54.880 --> 01:57.530\n那么临床表现的症状主要有这个，\n\n01:57.880 --> 02:00.981\n出现这个腹胀主要是餐后为主，\n\n02:01.081 --> 02:01.981\n还有反酸。\n\n02:02.877 --> 02:04.078\n就是食物，\n\n02:04.078 --> 02:06.027\n胃内的食物向上反流的情况，\n\n02:06.277 --> 02:07.627\n尤其是在进食以后，\n\n02:07.877 --> 02:10.227\n还有就是恶心，\n\n02:10.227 --> 02:11.277\n进食后恶心。\n\n02:12.220 --> 02:12.695\n呕吐呢，\n\n02:12.695 --> 02:15.820\n主要就是在饮食进食后出现恶心呕吐的表现，\n\n02:16.020 --> 02:17.220\n还有这个胃痛。\n\n02:19.731 --> 02:20.305\n那体征呢，\n\n02:20.305 --> 02:21.406\n主要是第一个呢，\n\n02:21.406 --> 02:22.080\n就是压痛，\n\n02:22.130 --> 02:23.080\n腹部的压痛，\n\n02:23.380 --> 02:27.330\n一般就是上腹部出现这个压痛，\n\n02:27.580 --> 02:28.380\n还有就是。\n\n02:29.781 --> 02:30.580\n保障的感觉。\n\n02:31.671 --> 02:31.796\n嗯，\n\n02:31.796 --> 02:32.820\n部腹部的包块。\n\n02:34.145 --> 02:35.994\n也就是肠鸣音的亢进。\n\n02:38.820 --> 02:39.570\n并发症呢，\n\n02:39.570 --> 02:39.970\n嗯，\n\n02:40.171 --> 02:40.796\n有很多。\n\n02:40.796 --> 02:41.345\n第一个呢，\n\n02:41.345 --> 02:42.770\n就是可能会引起来贫血。\n\n02:43.070 --> 02:46.645\n有消化不良的患者可能会出现贫血的症状，\n\n02:46.645 --> 02:48.770\n尤其是长期的消化不良的患者。\n\n02:49.654 --> 02:50.354\n还有销售。\n\n02:52.113 --> 02:53.412\n就是他长期消化不良以后，\n\n02:53.412 --> 02:55.462\n他的消化功能引起来这个。\n\n02:56.958 --> 02:58.259\n消化这个消瘦的症状，\n\n02:58.509 --> 03:01.858\n还有就是出现消化不良的一些腹泻的症状，\n\n03:02.158 --> 03:04.108\n尤其是长期的消化不良的患者，\n\n03:04.158 --> 03:05.708\n会出现。\n\n03:06.757 --> 03:07.106\n消瘦，\n\n03:07.156 --> 03:08.207\n体质比较差。\n\n03:09.658 --> 03:11.958\n出现那就是营养不良。\n\n03:12.675 --> 03:14.024\n就是营养健康非常差。\n\n03:15.276 --> 03:16.326\n这些都是他的并发症。\n\n03:17.360 --> 03:18.710\n那么我们的检查方法呢？\n\n03:18.710 --> 03:19.610\n主要有哪些呢？\n\n03:23.113 --> 03:23.263\n嗯，\n\n03:23.263 --> 03:26.113\n检查方法主要是一个实验室的检查。\n\n03:26.513 --> 03:26.912\n那么，\n\n03:26.912 --> 03:27.638\n主要第一个呢，\n\n03:27.638 --> 03:30.238\n就是常规的血液检查，\n\n03:30.238 --> 03:34.013\n包括血常规、红细胞计数啊、白细胞计数啊，\n\n03:34.162 --> 03:35.462\n还有血小板等。\n\n03:36.197 --> 03:36.298\n嗯，\n\n03:36.298 --> 03:37.923\n初步评估患者一般状况，\n\n03:37.923 --> 03:39.098\n还有感染的情况。\n\n03:39.800 --> 03:40.151\n第二个呢，\n\n03:40.151 --> 03:41.651\n就是生化的检查，\n\n03:41.651 --> 03:44.350\n包括肝肾功能、脂肪、血脂、电解质等，\n\n03:44.451 --> 03:46.451\n有助于了解患者的内脏功能。\n\n03:47.074 --> 03:48.024\n的这个营养状况。\n\n03:48.914 --> 03:49.315\n第三个呢，\n\n03:49.315 --> 03:50.464\n就是粪便的检查，\n\n03:50.714 --> 03:52.764\n包括常规凝血的，\n\n03:52.865 --> 03:54.789\n有助于了解消化道出血啊，\n\n03:54.789 --> 03:55.714\n感染的情况。\n\n03:56.485 --> 03:56.559\n嗯，\n\n03:56.559 --> 03:57.735\n那么这个是常规的，\n\n03:57.735 --> 04:01.509\n我们进行如果这个病人出现了消瘦啊，\n\n04:01.509 --> 04:03.184\n或者是体质比较差呀，\n\n04:03.384 --> 04:03.710\n嗯，\n\n04:03.710 --> 04:04.384\n明显的症状，\n\n04:04.384 --> 04:05.785\n一般就是要进行检查。\n\n04:09.201 --> 04:10.251\n还有影像学的检查，\n\n04:10.251 --> 04:11.225\n影像学的检查呢，\n\n04:11.225 --> 04:12.600\n包括这个钡剂，\n\n04:12.901 --> 04:17.851\n就是我们通过口服或者灌入含有钡剂的这个液体进行造影，\n\n04:17.901 --> 04:19.800\n观察胃肠道的黏膜的形态。\n\n04:20.600 --> 04:24.575\n有助于这个判断胃肠道疾病的病变的部位和性质。\n\n04:24.875 --> 04:25.424\n但是呢，\n\n04:25.424 --> 04:26.250\n它这个背镜呢，\n\n04:26.250 --> 04:26.674\n只能。\n\n04:27.617 --> 04:30.367\n这个检查不能够做一些活检。\n\n04:31.539 --> 04:32.489\n下面我们还会讲。\n\n04:33.361 --> 04:33.661\n第二个呢，\n\n04:33.661 --> 04:38.661\n就是CT和这个磁共振的检查有助于了解腹腔脏器和血管形态，\n\n04:38.812 --> 04:40.286\n判断是否有肿瘤啊，\n\n04:40.286 --> 04:41.962\n炎症等病变啊。\n\n04:41.962 --> 04:43.011\n因为有很多患者呢，\n\n04:43.011 --> 04:44.562\n他就是比较消瘦嘛。\n\n04:45.368 --> 04:45.618\n嗯，\n\n04:45.968 --> 04:46.743\n这样的话呢，\n\n04:46.743 --> 04:48.968\n就是要排除一些其他的器质性的病变，\n\n04:48.968 --> 04:50.819\n就要做一些CT或磁共振。\n\n04:52.144 --> 04:52.519\n这个呢，\n\n04:52.519 --> 04:54.595\n一般病人也能够接受。\n\n04:55.361 --> 04:56.286\n价格也不是太贵，\n\n04:56.286 --> 04:57.062\n还是可以。\n\n04:57.361 --> 04:58.011\n第三个呢，\n\n04:58.011 --> 04:59.062\n就是超声的检查。\n\n04:59.161 --> 05:00.212\n超声检查呢，\n\n05:00.212 --> 05:03.712\n其实和CT可以说是相辅相成的。\n\n05:04.377 --> 05:04.528\n那么，\n\n05:04.528 --> 05:04.903\n主要呢，\n\n05:04.903 --> 05:07.828\n是检查腹腔内脏的这个实质性的脏器，\n\n05:07.828 --> 05:09.727\n如胰腺、肝脏、胆囊等等，\n\n05:09.877 --> 05:13.078\n有助于判断病变的性质和这个程度。\n\n05:16.731 --> 05:17.731\n第三个就是利率，\n\n05:17.731 --> 05:18.682\n利率的减法。\n\n05:19.769 --> 05:21.494\n胃镜检查主要有胃镜的检查，\n\n05:21.494 --> 05:22.320\n胃镜检查呢，\n\n05:22.320 --> 05:26.920\n主要是通过将胃插入食管和十二指肠等部位，\n\n05:27.269 --> 05:29.420\n可以直接观察胃粘膜的病变，\n\n05:29.420 --> 05:31.070\n并可以进行组织的活检，\n\n05:31.170 --> 05:32.720\n以确定病变的性质。\n\n05:33.682 --> 05:34.182\n那么这个呢，\n\n05:34.182 --> 05:37.807\n主要还是就是目前做的比较多的一些相关的检查，\n\n05:37.807 --> 05:38.932\n就是内镜的检查。\n\n05:39.583 --> 05:39.708\n嗯，\n\n05:39.708 --> 05:40.308\n我们科呢，\n\n05:40.308 --> 05:42.233\n也就是胃肠镜检查非常的多，\n\n05:42.583 --> 05:43.833\n每天也做了很多，\n\n05:44.032 --> 05:44.433\n嗯。\n\n05:45.479 --> 05:47.053\n这也是一个目前来说，\n\n05:47.053 --> 05:51.878\n就是说对这个胃病的这个检查最好的一个方式了。\n\n05:52.721 --> 05:53.321\n肠镜呢，\n\n05:53.321 --> 05:57.045\n主要是比如像肠镜插入结肠和直肠等部位，\n\n05:57.196 --> 05:59.496\n可以直接观察粘膜的病变，\n\n05:59.696 --> 06:01.295\n并可以进行组织活检，\n\n06:01.596 --> 06:02.996\n确定病变的性质。\n\n06:03.782 --> 06:03.981\n嗯，\n\n06:04.131 --> 06:05.631\n这个内镜的检查呢，\n\n06:06.032 --> 06:06.356\n嗯，\n\n06:06.356 --> 06:07.332\n目前来说呢，\n\n06:07.332 --> 06:09.832\n我们的无痛胃肠镜可以同时做。\n\n06:09.832 --> 06:10.381\n患者呢，\n\n06:10.381 --> 06:11.432\n少了一些痛苦。\n\n06:11.432 --> 06:11.932\n而且，\n\n06:11.932 --> 06:14.381\n打一个麻醉就是同时做了就可以。\n\n06:14.481 --> 06:14.932\n那么，\n\n06:14.932 --> 06:15.832\n对于患者来说，\n\n06:15.832 --> 06:16.582\n他们都可以。\n\n06:17.760 --> 06:18.210\n接受的。\n\n06:19.238 --> 06:20.537\n也愿意去进行检查。\n\n06:22.218 --> 06:22.569\n第四个呢，\n\n06:22.569 --> 06:23.618\n就是诊断和证明。\n\n06:25.963 --> 06:26.613\n诊断的标准，\n\n06:26.613 --> 06:27.812\n那功能消化不良呢，\n\n06:27.812 --> 06:29.013\n我们个FD，\n\n06:29.013 --> 06:30.013\n它的诊断标准呢，\n\n06:30.013 --> 06:31.113\n就是罗马仕标准，\n\n06:31.263 --> 06:32.238\n有上腹痛，\n\n06:32.238 --> 06:33.062\n上腹胀，\n\n06:33.263 --> 06:33.863\n反酸，\n\n06:34.013 --> 06:34.537\n嗳气，\n\n06:34.537 --> 06:36.562\n恶心呕吐等上火症状超过三个月。\n\n06:37.311 --> 06:39.260\n或者是上腹部疼痛等表现，\n\n06:39.460 --> 06:41.786\n因内镜检查会发现胃肠道溃疡啊，\n\n06:41.786 --> 06:43.360\n糜烂肿瘤的器质性病变，\n\n06:43.460 --> 06:44.710\n没有肝胆胰的疾病，\n\n06:44.710 --> 06:45.860\n也没有HPUA感染，\n\n06:45.911 --> 06:46.686\n这个时候呢，\n\n06:46.686 --> 06:48.061\n我们就能功能性的疾病。\n\n06:48.829 --> 06:48.980\n嗯，\n\n06:48.980 --> 06:51.704\n以前的这个三的时候呢，\n\n06:51.704 --> 06:52.929\n是讲是六个月，\n\n06:52.929 --> 06:54.130\n那么四的时候，\n\n06:54.130 --> 06:54.980\n罗马仕标准呢，\n\n06:54.980 --> 06:56.404\n现在降降到了三个月，\n\n06:56.404 --> 06:57.779\n症状持续3个月。\n\n06:58.574 --> 06:59.273\n超三月以上。\n\n07:00.705 --> 07:01.080\n那么，\n\n07:01.080 --> 07:04.430\n慢性胃炎消化不良的C这个诊断标准呢，\n\n07:04.430 --> 07:09.105\n主要是这个超过6个月上腹部不适或疼痛的表现。\n\n07:09.105 --> 07:10.381\n经内镜检查发现，\n\n07:10.381 --> 07:13.305\n慢性胃炎等病变没有其他器质性的病变。\n\n07:16.869 --> 07:18.720\nFD与早期胃癌的鉴别，\n\n07:18.720 --> 07:20.720\n那么这几个鉴别诊断呢，\n\n07:20.920 --> 07:21.519\n第一个呢，\n\n07:21.519 --> 07:22.720\n就是早期胃癌的鉴别，\n\n07:22.970 --> 07:23.869\n它也会出现，\n\n07:23.869 --> 07:24.994\n因为早期胃癌的话呢，\n\n07:24.994 --> 07:27.470\n可以可以可以出现这个上腹部疼痛啊，\n\n07:27.570 --> 07:28.470\n食欲不振啊，\n\n07:28.470 --> 07:29.095\n消瘦啊，\n\n07:29.095 --> 07:30.119\n消化不良症状。\n\n07:30.733 --> 07:32.108\n与F、D的症状相似，\n\n07:32.108 --> 07:33.282\n但早期胃癌呢，\n\n07:33.282 --> 07:34.433\n常有黑便呀，\n\n07:34.683 --> 07:36.083\n紫便等啊，\n\n07:36.132 --> 07:37.782\n胃镜检查可以鉴别。\n\n07:39.214 --> 07:41.515\n这个还有就是与慢性胰腺炎的鉴别。\n\n07:42.415 --> 07:43.441\n慢性咽炎呢，\n\n07:43.441 --> 07:46.915\n可以出现上腹痛、恶心、呕吐等消化不良的症状，\n\n07:47.015 --> 07:48.091\n常伴有腹泻，\n\n07:48.091 --> 07:49.515\n体重下降等症状，\n\n07:49.816 --> 07:50.216\n嗯。\n\n07:52.020 --> 07:53.170\n因为慢性胰腺炎呢，\n\n07:53.170 --> 07:54.471\n它也会腹痛，\n\n07:54.520 --> 07:59.321\n所以说有的时候也需要鉴别那么一些这个实验室的检查，\n\n07:59.321 --> 08:00.371\n血清淀粉酶啊，\n\n08:00.420 --> 08:02.121\n或者是影像学CT呀，\n\n08:02.520 --> 08:03.821\n都可以来进行鉴别。\n\n08:04.950 --> 08:08.399\n还可以与这还要与这个肝胆疾病来进行鉴别。\n\n08:09.187 --> 08:09.738\n它的鉴别呢，\n\n08:09.738 --> 08:12.187\n主要是因为这个肝胆疾病呢，\n\n08:12.187 --> 08:15.638\n也可以出现上腹部疼痛、恶心呕吐等消化不良的症状，\n\n08:15.738 --> 08:18.287\n还有常伴有肝区的疼痛、黄疸等表现。\n\n08:19.005 --> 08:22.005\n那么我们就可以通过实验室的肝功能检查呀，\n\n08:22.005 --> 08:23.704\n一些CT的检查来进行鉴别。\n\n08:26.506 --> 08:26.705\n嗯，\n\n08:26.906 --> 08:28.330\n病情的评估上面呢，\n\n08:28.330 --> 08:31.131\n主要是评估它的严重程度啊，\n\n08:31.131 --> 08:32.755\n根据患者症状的严重程度。\n\n08:33.536 --> 08:34.986\n频率和持续的时间，\n\n08:35.486 --> 08:37.486\n以及是否有报警的症状呢？\n\n08:37.486 --> 08:38.836\n对病情进行评估。\n\n08:39.599 --> 08:40.900\n那么评估他的生活质量，\n\n08:40.900 --> 08:46.650\n采用生活质量评分量表等工具来进行评估患者的这个生活质量状况。\n\n08:50.064 --> 08:50.463\n那么呢，\n\n08:50.463 --> 08:51.914\n还有一个治疗的措施，\n\n08:52.364 --> 08:53.814\n那么治疗的措施上面呢，\n\n08:53.814 --> 08:55.213\n有这个药物治疗。\n\n08:56.059 --> 08:56.260\n嗯，\n\n08:56.609 --> 08:57.434\n药物治疗呢，\n\n08:57.434 --> 09:00.010\n主要包括一些抑酸的药物，\n\n09:00.059 --> 09:03.659\n比如说质子化抑制剂、进儿受体拮抗剂等。\n\n09:03.960 --> 09:04.309\n嗯，\n\n09:04.309 --> 09:05.585\n可以抑制胃酸分泌，\n\n09:05.585 --> 09:07.159\n缓解上不疼症的症状。\n\n09:07.856 --> 09:08.481\n那么还有呢，\n\n09:08.481 --> 09:11.056\n就是我们的这个皮泡的制剂，\n\n09:11.356 --> 09:13.156\n就是最近比较流行的这个，\n\n09:13.356 --> 09:13.755\n嗯，\n\n09:14.356 --> 09:15.455\n像一些拉伤。\n\n09:17.335 --> 09:17.885\n不头拉伤。\n\n09:18.677 --> 09:19.276\n体格拉升。\n\n09:20.138 --> 09:20.552\n泰普拉生，\n\n09:20.552 --> 09:21.189\n还有这个，\n\n09:21.439 --> 09:24.088\n还有一个叫利钠拉生酯，\n\n09:24.338 --> 09:27.039\n那么他们都是强有效的这个抑酸的药物。\n\n09:27.189 --> 09:28.039\n那么目前呢，\n\n09:28.039 --> 09:32.364\n也是比较就是推崇的效果也是非常的好啊。\n\n09:32.364 --> 09:34.189\n还有促胃肠道动力的药物，\n\n09:34.239 --> 09:36.739\n比如说莫沙必利舒巴利酮等，\n\n09:36.939 --> 09:38.489\n可以促进胃肠蠕动，\n\n09:38.638 --> 09:40.588\n改善腹胀反酸等症状。\n\n09:42.289 --> 09:43.302\n还有消化的酶类，\n\n09:43.302 --> 09:45.439\n比如说胃蛋白酶、胰酶片等，\n\n09:45.439 --> 09:46.388\n可以促进消化，\n\n09:46.388 --> 09:47.989\n改善食欲不振的症状。\n\n09:48.979 --> 09:50.278\n这些这些消化酶呢，\n\n09:50.278 --> 09:52.429\n也是不可或缺的。\n\n09:52.528 --> 09:52.903\n嗯，\n\n09:52.903 --> 09:55.379\n还有一些阿奇米特促进消化也是可以。\n\n09:56.083 --> 09:56.908\n还有其他的药物，\n\n09:56.908 --> 10:01.583\n比如说益生菌、中医中药等治疗可以辅助治疗消化不良的症状。\n\n10:01.932 --> 10:02.333\n嗯，\n\n10:02.432 --> 10:05.982\n这里讲一下这个中医中药现在有很多的中成药，\n\n10:06.132 --> 10:08.057\n对治疗这些消化不良的症状呢，\n\n10:08.057 --> 10:09.682\n也是非常的效果非常的好。\n\n10:09.682 --> 10:10.708\n而且，\n\n10:10.708 --> 10:13.682\n有的患者是非常的希望应用这个中药的，\n\n10:13.732 --> 10:16.783\n所以说这一方面也可以满足患者临床需求。\n\n10:18.778 --> 10:20.328\n还有就是饮食的疗法，\n\n10:20.627 --> 10:20.953\n嗯，\n\n10:20.953 --> 10:22.127\n因为刚才我们说了嘛，\n\n10:22.127 --> 10:23.302\n这个消化不良的症状，\n\n10:23.302 --> 10:27.177\n它可能与这个饮食啊、心情啊、睡眠这些都有可能有关系。\n\n10:27.377 --> 10:27.677\n嗯，\n\n10:27.677 --> 10:29.752\n所以说我们要从这几方面来进行下手，\n\n10:29.752 --> 10:30.778\n给他进行治疗。\n\n10:30.978 --> 10:31.403\n那么，\n\n10:31.403 --> 10:31.828\n第一个呢，\n\n10:31.828 --> 10:35.528\n就是避免高脂高糖、辛辣油炸等刺激性的食物，\n\n10:35.677 --> 10:37.127\n减少对胃肠道的刺激，\n\n10:37.127 --> 10:37.927\n缓解症状。\n\n10:38.583 --> 10:38.708\n嗯，\n\n10:38.708 --> 10:39.133\n同时呢，\n\n10:39.133 --> 10:40.158\n要控制饮食量，\n\n10:40.158 --> 10:41.033\n避免过饱，\n\n10:41.083 --> 10:42.583\n减轻胃肠道的负担，\n\n10:42.684 --> 10:46.083\n缓解上腹部疼痛饱胀等症状。\n\n10:47.926 --> 10:50.125\n增加膳食纤维的摄入，\n\n10:50.226 --> 10:52.476\n就是促进肠道的这个蠕动。\n\n10:53.866 --> 10:55.866\n改善便秘的这个症状。\n\n10:57.017 --> 10:57.267\n同时呢，\n\n10:57.267 --> 10:58.267\n要规律的饮食。\n\n10:59.179 --> 11:00.054\n就是定时定量，\n\n11:00.054 --> 11:01.528\n养成良好的饮食习惯，\n\n11:01.578 --> 11:03.729\n有助于治疗这个消化不良的症状。\n\n11:05.254 --> 11:06.979\n那么有的时候这个都是难免的，\n\n11:06.979 --> 11:11.104\n在门诊遇到的患者好多的患者都是有好多个各种各样的症状，\n\n11:11.153 --> 11:12.554\n有的人查了胃镜啊，\n\n11:12.554 --> 11:12.879\nCT啊，\n\n11:12.879 --> 11:13.804\n这些都没有问题。\n\n11:13.804 --> 11:16.453\n那么我们考虑是这个宫能性消化不良的时候呢，\n\n11:16.653 --> 11:17.304\n你就要。\n\n11:17.935 --> 11:21.310\n给病人就是交代生活上要注意，\n\n11:21.310 --> 11:22.536\n饮食上要怎么调节，\n\n11:22.536 --> 11:24.210\n生活上怎么调节啊。\n\n11:24.210 --> 11:27.435\n其实养成良好的这个生活饮食习惯就是可以。\n\n11:29.192 --> 11:31.143\n大一大部分都是可以调整过来，\n\n11:31.242 --> 11:31.942\n不要用药，\n\n11:31.942 --> 11:32.968\n就会不要药物治疗，\n\n11:32.968 --> 11:33.692\n就可以调整。\n\n11:34.367 --> 11:35.067\n那么这一块呢，\n\n11:35.067 --> 11:38.043\n嗯有好多患者也是在临床上，\n\n11:38.043 --> 11:39.018\n因为在门诊嘛，\n\n11:39.117 --> 11:40.968\n这种患者一般都是在门诊比较多。\n\n11:41.018 --> 11:42.918\n那么在门诊的时候呢，\n\n11:43.018 --> 11:46.268\n给他进行患教给他讲解，\n\n11:46.268 --> 11:47.567\n那么他都能接受。\n\n11:47.567 --> 11:49.567\n而且这个效果也是非常的好，\n\n11:49.567 --> 11:51.718\n也增加了患者的信任度和依从性。\n\n11:53.679 --> 11:54.030\n还有一个呢，\n\n11:54.030 --> 11:55.280\n就是其他治疗的方法。\n\n11:55.280 --> 11:56.054\n刚才我们说了，\n\n11:56.054 --> 11:57.330\n生活方式的调整，\n\n11:57.380 --> 11:58.630\n适当的运动啊，\n\n11:58.630 --> 11:59.380\n规律作息，\n\n11:59.679 --> 11:59.979\n哎，\n\n11:59.979 --> 12:01.729\n这个减轻工作的压力等，\n\n12:01.729 --> 12:03.679\n有助于改善消化不良的症状。\n\n12:04.390 --> 12:04.666\n第二个呢，\n\n12:04.666 --> 12:05.466\n就是心理的治疗，\n\n12:05.466 --> 12:06.390\n那么心理治疗呢，\n\n12:06.390 --> 12:07.591\n对于于患有这个，\n\n12:07.741 --> 12:09.565\n因为长期的这个功能性消化不良，\n\n12:09.565 --> 12:11.791\n可能会给患者带来一些心理的负担，\n\n12:11.890 --> 12:14.241\n会伴有焦虑和抑郁等心理的障碍，\n\n12:14.341 --> 12:16.291\n那么可以进行适当的心理治疗，\n\n12:16.291 --> 12:17.241\n缓解症状。\n\n12:18.057 --> 12:18.158\n嗯，\n\n12:18.158 --> 12:18.557\n还有呢，\n\n12:18.557 --> 12:19.507\n就是，\n\n12:19.857 --> 12:20.533\n针灸啊，\n\n12:20.533 --> 12:22.357\n推拿等中医治疗也可以，\n\n12:22.507 --> 12:22.908\n嗯，\n\n12:23.257 --> 12:24.557\n把这个症状给它缓解。\n\n12:26.794 --> 12:27.193\n最后呢，\n\n12:27.193 --> 12:28.544\n讲一下这个预防措施。\n\n12:30.393 --> 12:31.068\n预防措施呢，\n\n12:31.068 --> 12:31.919\n主要是第一个，\n\n12:31.919 --> 12:32.893\n刚才说了啊，\n\n12:32.893 --> 12:34.494\n要从源头下手，\n\n12:34.494 --> 12:36.794\n那么从这个生活习惯来进行控制。\n\n12:37.093 --> 12:37.593\n第一个呢，\n\n12:37.593 --> 12:39.494\n就是饮食规律，\n\n12:39.794 --> 12:41.119\n就是尽量保持呢，\n\n12:41.119 --> 12:42.718\n每天三餐定时定量，\n\n12:42.718 --> 12:44.143\n避免过饥过饱。\n\n12:44.982 --> 12:45.333\n第二个呢，\n\n12:45.333 --> 12:46.432\n就是食物的选择。\n\n12:47.473 --> 12:47.674\n嗯，\n\n12:47.674 --> 12:49.723\n多食用这个富含纤维的食物，\n\n12:49.723 --> 12:51.924\n如蔬菜、水果、全谷类的，\n\n12:51.924 --> 12:53.473\n以促进肠道的蠕动。\n\n12:54.171 --> 12:55.671\n还有避免刺激性的食物。\n\n12:56.479 --> 12:56.679\n嗯，\n\n12:57.429 --> 13:01.203\n减少食用这些辛辣、油腻、高脂肪等刺激性食物，\n\n13:01.203 --> 13:02.729\n以减轻胃肠道的负担。\n\n13:02.929 --> 13:03.254\n嗯，\n\n13:03.254 --> 13:05.778\n那么这个一般这种功能消化不良呢，\n\n13:05.778 --> 13:09.028\n可能跟就是说患者的这个体重也是有关系的。\n\n13:09.028 --> 13:09.629\n有的患者呢，\n\n13:09.629 --> 13:10.504\n因为暴饮暴食啊，\n\n13:10.504 --> 13:13.979\n或者是高这个高脂类的食物啊，\n\n13:14.179 --> 13:15.153\n油腻的啊，\n\n13:15.153 --> 13:16.379\n体重可能会比较胖，\n\n13:16.429 --> 13:17.504\n那么就会出现，\n\n13:17.504 --> 13:20.979\n就会出现这种有有的可能会出现这种上腹饱胀啊，\n\n13:21.078 --> 13:22.879\n那反酸的这种症状，\n\n13:22.879 --> 13:23.403\n烧心啊，\n\n13:23.403 --> 13:24.179\n这些都有可能。\n\n13:24.859 --> 13:26.684\n那么这种也要控制一下体重。\n\n13:28.158 --> 13:29.007\n保持第二个呢，\n\n13:29.007 --> 13:30.607\n就是保持健康的生活方式。\n\n13:32.443 --> 13:33.044\n生活方式呢，\n\n13:33.044 --> 13:34.119\n主要就是一个呢，\n\n13:34.119 --> 13:37.294\n适当的运动有助于促进肠道的蠕动，\n\n13:37.294 --> 13:38.693\n改善消化不良的症状。\n\n13:39.400 --> 13:39.599\n嗯，\n\n13:39.599 --> 13:40.450\n这一块呢，\n\n13:40.799 --> 13:41.200\n嗯。\n\n13:42.375 --> 13:44.674\n要适度也不要过量的运动啊。\n\n13:45.401 --> 13:45.801\n还有一个呢，\n\n13:45.801 --> 13:46.750\n就是戒烟戒酒。\n\n13:46.801 --> 13:49.301\n戒烟戒酒可以减轻胃肠道的刺激，\n\n13:49.301 --> 13:50.851\n有利于预防消化不良。\n\n13:51.051 --> 13:51.651\n那么，\n\n13:51.901 --> 13:53.051\n除了这个消化不良，\n\n13:53.051 --> 13:55.151\n其实有好多的这个像这个烟酒啊，\n\n13:55.151 --> 13:58.000\n这种生活的方式都是不良的一一个嗜好。\n\n13:58.200 --> 13:58.625\n那么，\n\n13:58.625 --> 13:58.950\n我们呢，\n\n13:58.950 --> 14:01.401\n就给他尽量的给患者交代。\n\n14:02.020 --> 14:03.070\n你要进行戒烟戒酒。\n\n14:03.965 --> 14:04.315\n第三个呢，\n\n14:04.315 --> 14:05.215\n就是控制情绪，\n\n14:05.265 --> 14:06.664\n要保持良好的心态，\n\n14:06.765 --> 14:10.765\n避免过度的焦虑、抑郁等不良情况对这个胃肠道的影响。\n\n14:11.611 --> 14:12.161\n那么其实呢，\n\n14:12.161 --> 14:16.937\n刚才从之前的这个症状到体征到这个，\n\n14:17.236 --> 14:20.611\n刚才说了生活的这个饮食生活的方式啊，\n\n14:20.611 --> 14:21.586\n都要进行一个。\n\n14:22.286 --> 14:22.812\n调整，\n\n14:22.812 --> 14:23.861\n那么这样的话呢，\n\n14:23.861 --> 14:24.887\n什么都要适量，\n\n14:25.536 --> 14:26.986\n保持适当的这个。\n\n14:28.942 --> 14:29.492\n调节呢，\n\n14:29.492 --> 14:30.892\n对这个心态呀，\n\n14:30.992 --> 14:33.091\n和对我们的胃肠道的这个。\n\n14:34.140 --> 14:34.666\n人家说嘛，\n\n14:34.666 --> 14:35.515\n这个胃病呢，\n\n14:35.515 --> 14:36.466\n要要靠养的，\n\n14:36.466 --> 14:38.140\n所以说其实养呢，\n\n14:38.140 --> 14:40.140\n也就是讲我们这个生活方式上的。\n\n14:42.150 --> 14:42.674\n还有呢，\n\n14:42.674 --> 14:43.900\n就是要关注心理健康，\n\n14:43.950 --> 14:45.250\n那么心理健康呢，\n\n14:45.250 --> 14:46.549\n主要是这个。\n\n14:47.401 --> 14:47.601\n嗯，\n\n14:47.702 --> 14:49.552\n针对一些工作压力大呀。\n\n14:50.458 --> 14:52.958\n或者是情绪上就是遇到事情啊。\n\n14:53.898 --> 14:54.299\n这样的话呢，\n\n14:54.299 --> 14:56.299\n它就会这个与消化不良密切相关，\n\n14:56.648 --> 14:56.973\n嗯，\n\n14:56.973 --> 14:58.323\n所以说要保持良好的心态，\n\n14:58.323 --> 15:01.648\n避免过度的焦虑抑郁等不良情绪的刺激呢，\n\n15:01.648 --> 15:04.749\n就会对这个消化不良的。\n\n15:06.156 --> 15:07.505\n有一个很好的辅助作用，\n\n15:07.755 --> 15:10.306\n还有一个就是学习应对压力的技巧，\n\n15:10.455 --> 15:13.755\n比如说放松训练、深呼吸、音乐疗法等，\n\n15:13.856 --> 15:15.656\n有助于缓解心理压力，\n\n15:15.806 --> 15:17.356\n预防消化不良的发生。\n\n15:19.237 --> 15:19.463\n好，\n\n15:19.463 --> 15:19.812\n嗯，\n\n15:19.812 --> 15:20.487\n今天呢，\n\n15:20.638 --> 15:24.288\n就给大家简单的分享一下关于过敏性消化管理的这个。\n\n15:26.281 --> 15:28.031\n这个内容谢谢大家的聆听。\n\n","v0247cg10004d9ar89qljhtfi7qsgmp0",933,721,"2026-07-11 00:01:37","2026-08-05 21:00:00",[33],{"menuId":34,"menuName":35,"parentId":17,"orderNum":36,"path":37,"component":38,"isFrame":39,"isCache":40,"menuType":41,"visible":25,"status":17,"createDept":6,"remark":18,"createTime":42,"children":43,"columnImage":44,"columnLogo":45,"uncheckedLogo":6,"checkedLogo":6,"isHot":17,"isHome":17,"forceLogin":17,"color":6,"seoTitle":46,"seoKeywords":47,"seoDescription":48,"contentNum":6,"promotionalPoster":49,"menuFrame":7,"innerLink":7,"parentView":7,"routeName":50,"routerPath":37,"componentInfo":38},"1986622624134549505","科普视频",3,"video","/video.html","1","0","T","2025-11-07 10:31:58",[],"https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:09:40/0d7fcb56-3dc4-4dcb-99ca-a5d5c438378e.png","https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:09:43/958efac7-dd02-4681-b8fd-0dd84b1bbf42.png","健康科普视频大全,了解你的健康生活","健康科普视频, 戒烟视频, 饮食健康视频, 胸痛科普, 用药知识, 职业健康视频, 贫血科普, 眼健康视频","精选健康科普视频,涵盖戒烟、胸痛、饮食、用药与职业健康等多个主题,让你轻松获取科学健康知识,提升生活质量。","https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:09:45/fa8fe113-deaa-4454-8105-d629769963dd.png","Video","高发轻症",4,"https://vod.haohuanjiao.com/huanjiao/specialistVideo/997376/2a7b3eb8-c7a8-4bcb-bea8-a1dbc9aa9880.tmp?a=0&auth_key=1791493595-ab6de6d1a02c453bb8dfbccbef0c639a-0-aac047789c213e7e2579a94718ca4a52&br=254&bt=254&cd=0%7C0%7C0&ch=0&cr=0&cs=0&dr=0&ds=3&eid=v0247cg10004d9ar89qljhtfi7qsgmp0&er=0&l=20260908185102C52A30000A2C091D4318&lr=&mime_type=video_mp4&net=0&pl=0&qs=13&rc=M3B2Omlrbzx1PDczNGY3M0Apc2p0bHdtdDtkZzMzajo1eWdtZG5mcWduNV5hLS1kNC9zcy1qcDRjZWk2bzYxLS5gMS06Yw%3D%3D&vl=&vr=",true,{"code":9,"msg":53,"message":6,"data":6,"success":54},{"code":9,"msg":10,"message":6,"data":57,"success":54},{"pageNo":25,"pageSize":58,"result":59,"totalSize":17},10,[],{"code":9,"msg":10,"message":6,"data":61,"success":54},{"authors":62,"appraiseDimensionScoresVos":63},[],[]]