【摘要】 目的　对功能性消化不良 (functionaldyspepsia ,FD)及十二指肠溃疡 (duodenalulcer,DU)患者的多种因素进行比较 ,探讨其意义及在发病中的作用。方法　对 186例FD及 77例DU患者进行年龄、性别、生活习惯、文化程度、幽门螺杆菌 (Helicobacterpylori,Hp)感染率、焦虑及抑郁情绪进行比较 ,用焦虑自评量表 (SAS)和抑郁自评量表 (SDS)进行评定。结果　FD以女性多见 ,年龄偏大 ,DU以男性多见 ,年龄较轻 ,吸烟、饮酒者多。FD的Hp感染率 ( 3 8 17% )显著低于DU( 80 3 3 % )。FD与焦虑、抑郁的关系较DU明显。结论　FD与DU的发生与性别、年龄、生活习惯有一定关系 ,FD是一种心身疾病 ,DU的心理异常可能是继发性的一种身心反应。更多还原

【Abstract】 Objective To contrast multiple factors between functional dyspepsia (FD) and duodenal ulcer (DU), exploring what they mean and their effects in the pathogenic mechanism. Methods 186 patients with FD and 77 patients with DU are compared in age, gender, living habits, education degree, Helicobacter pylori (Hp) status and mood of anxiety and depression, which are scored by Self Rating Anxiety Scale (SAS) and Self Rating Depression Scale (SDS). Results Patients with FD are female dominant, old. DU are male gender, younger, smoking and drinking more common. Hp positive rate in patients with FD (38.17%) is significantly lower than that with DU (80.33%). FD is more related with anxiety and depression than DU. Conclusion Gender, age, and living habits have something to do with FD and DU. FD is a psychosomatic disease, while neuroticism in DU is a psychological adjustment secondary to somatopathy.更多还原