pm and 2 am) and prevents her from “sleeping well”. She also notes mild nausea, no vomiting. Her BMs are daily and “normal.” She sees no blood / melana PR. 嗝逆,反酸,恶心食欲不振便秘胃胀,腹胀,烧心2、为什么会有这些症状和体征1、这是哪个系统的表现胃胀腹胀烧心嗝逆反酸恶心食欲不振便秘组成组成Gastro-Gastro-intestinal tractsintestinal tracts概述概述((IntroductionIntroduction))功能功能Digestion Digestion Absorption Absorption EvacuationEvacuation体内最大的细菌库多种病因所致胃肠道的功多种病因所致胃肠道的功能性与器质性疾病伴有多能性与器质性疾病伴有多种消化道症状和体征。种消化道症状和体征。胃肠功能不全胃肠功能不全23.8 亿发病率高就诊病人- 冰山一角25% 就诊率75% 未就诊率70 % 女性30% 男性专家门诊初步诊疗类型类型胃肠动力障碍胃肠动力障碍(Gastrointestinal motor disorders ) (Gastrointestinal motor disorders ) 吸收不良吸收不良(Malabsorption) (Malabsorption) 屏障功能障碍屏障功能障碍(Gut barrier dysfunction)(Gut barrier dysfunction)第一节第一节胃肠动力障碍胃肠动力障碍Gastrointestinal motor disordersGastrointestinal motor disorders