The Comparative Analysis Of Clinical Diagnosis And Treatment Of Functional Bowel Disease And Organic Bowel Disease

Background and purpose:This topic through the analysis of functional bowel disease and organicbowel disease in the clinical characteristics and the characteristics of thepsychological factors and carries on the contrast, It has a guidingsignificance of selecting functional bowel disease diagnosis and treatmentplan.Materials and methods:With532outpatients of Gastrointestinal medical clinic underinvestigation, and according to the clinical symptoms and auxiliaryexamination is divided into organic bowel disease and functional boweldisease, by comparing the clinical features, psychological factors, and givethe antidepressant treatment with patients who are know the cases, toobserve the curative effect s.Result:Compare two sets of general situation, disease constitution, clinicalsymptoms, psychological factors and Deanxit curative effect, found thatrelative to the organic bowel disease, women in the group FBDs proportionis higher, the higher average age, duration is shorter, And in the lower age group (<40years old) it has higher percentage,in higher age groups (age>40) is lower. Functional bowel disease more showed diarrhea, abdominalpain, constipation, defecation distress feeling, sense of endless defecate, thedefecate painful symptoms.The abdominal pain of Functional bowel disease more show in the leftlower. Women account for a significant share in patients with constipation.Organic bowel disease did not see this feature. Two groups of patients withSAS and SDA questionnaires, functional bowel disease group has surveyed113patients,102cases (90%) had anxiety or depression symptoms, and inthe organic bowel disease group,102cases completed the survey, including30cases of patients with symptoms of anxiety or depression (33%).Functional bowel disease is given priority to with irritable bowel syndrome,organic bowel disease in the majority with colon polyps, malignant tumor.Deanxit in the treatment of functional bowel disease curative effect isdistinct.Conclusion:1. Women in the group FBDs proportion is higher, While men higherpercentage in OBDs group, difference has statistical significance (P <0.05);2. OBDs group have a significantly higher average age than FBDsgroup,in less than the age of40, proportion of FBDs group are higher thanin OBDs group, and at40years of age and older age groups, OBDs group ishigher than FBDs group, the difference was statistically significant (P <0.05, see figure1). FBDs group patients were significantly longer than theduration of OBDs group, the difference was statistically significant (P <0.05).3. Irritable bowel syndrome in FBDs is most common (110cases,51.89%), Colon polyps in OBDs is most common(180cases,56.25%), Therest is malignant tumor (84.26.25%).4. FBDs group had a significantly higher incidence of symptoms OBDsgroups such as diarrhea, abdominal pain, constipation, defecation distressfeeling, sense of endless defecate, the defecate, abdominal discomfort，Alternating diarrhea constipation，statistically significant difference (P <0.05). The abdominal pain of Functional bowel disease more show in theleft lower. Women account for a significant share in patients withconstipation. Organic bowel disease did not see this feature.5. there are113patients completed self rating anxiety scale (SAS) andself rating depression scale (SDS) survey FBDs group, Psychological factorsaffecting FBDs group is higher than OBDs group, difference has statisticalsignificance (P <0.05).6.80patients of mental disorder of FBDs group,who use Deandixtreatment after30days, SAS, SDS, became normal and their symptomsimprovement better accounted for70cases of patients with effective rate(87.5%).