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许多消化不良的患者，虽长期治疗，但症状却一直不见好转。中药、西药都已经服用过，也用过消化酶，就是不管用，为什么会这样？细细分析，大多是用药不当的缘故。
指导专家潘相学医院脾胃病科主治医师，医学博士。主要擅长中西医结合治疗慢性肝病、胃肠炎、消化道溃疡、消化道肿瘤及功能性胃肠道疾病。
我们所说的消化不良，是指上腹部或胸骨后疼痛不适、烧心、恶心、呕吐、早饱或餐后饱胀的症状。
发生消化不良时，要仔细分析消化不良出现的原因，恰当用药，这样才能使症状更快、更彻底地缓解。
通常，消化不良分为器质性和非器质性两大类。
器质性消化不良是有消化系统疾病、全身性疾病、或某些药物引起，如果这些基础疾病没有得到有效治疗，助消化药即使能暂时改善症状，也难达到治愈的效果。
另有相当一部分是功能性消化不良患者，他们没有器质性疾病，无组织结构的异常及生化方面的改变，通常，他们可以通过适当进行自我调理和药物治疗。
常见四类消化不良用药1.消化酶制剂：胃蛋白酶、多酶片、胰酶（如得每通、米曲菌胰酶）、复方消化酶制剂（如达吉）等。
2.胃肠动力调节药物：吗叮啉、莫沙比利、曲美布丁、匹维溴胺、六位安消等，用以调节胃肠运动缓慢或亢进。
3.肠道菌群调节药：双歧三联活菌制剂（培菲康）、米雅BM、整肠生、多维乳酸菌散（妈咪爱散）、乐托尔、乳酸菌素片等，用以调节肠道菌群比例、数量和肠道酸碱环境。
4.促胆汁分泌药：茴三硫、复方阿嗪米特等，用以促进胆汁分泌，有利于脂肪消化和吸收。
消化不良时的错误用药暴饮暴食导致腹胀用药误区：联合使用抗酸药或制酸药+多酶片或胃蛋白酶
正确用药：应用消化酶加促胃肠动力药通常，暴饮暴食后的胃胀与胃的急速扩容难于及时排空有关，给予制酸药后反而不利于消化和消化酶起作用。
治疗胃炎时，长期使用强制酸剂后出现腹胀用药误区：强制酸剂+消化酶制剂正确用药：停用强制酸剂，在使用消化酶患者长期使用强制酸剂后，胃酸受到过度抑制，影响了食物在胃内的消化，并减弱了胃酸对消化道细菌的一只，致使大肠内细菌大量生长，甚至原来基本无菌的小肠也出现大量细菌生长，影响消化、吸收并产生很多气体。
因此，患者应及时停用质酸剂，改用胃黏膜保护剂，而不是单纯的使用消化酶。同时，还应补充益生菌，抑制有害菌，必要时配合肠道抗菌药。
老年人长期便秘，引起腹胀和食欲减退用药误区：仅单独补充消化酶正确用药：应以解除便秘为主要用药，辅助用消化酶对这些老年人未仔细分析引起消化不良的原因，以致饮用助消化药缺乏针对性。此时，老人应使用促进胃肠动力药和抗菌药（如甲硝唑），待大便通畅和有害菌群减少后，再服用消化酶，方可见效。
此外，由于蔬菜有大量纤维素，能够促进消化，利于排便。但有些老人肠蠕动很弱，反而可致纤维素储留过久，经大肠细菌发酵产生大量气体，从而引起顽固性腹胀，这点需要特别注意。
年轻人饮食不准时，喜吃辣火锅、油炸食品用药误区：仅单独补充消化酶正确用药：应以解除便秘为主要用药，辅助用消化酶不良饮食习惯是造成年轻一族胃病的重要原因，胃炎和消化不良最为常见。消化酶在发病时会有效果，但不久后症状会反复，只有改掉这些不良饮食习惯，助消化药才能充分起效用。
后抗生素时代首选——佑三护理膏在这个抗生素滥用以及日渐失效的时代，佑三护理膏(佑三软膏)在当下无疑是我们最有效最安全的健康首选，来自51年前臻品配方，半个世纪的检验，千万家庭的实践，激活并促进人体自我智能调整，达到"牵一发而动全身"，"不药而愈"的效果，从而解决各类健康问题！经项药物检测，无任何西药激素成分，通过皮肤就能激活人体天然的防御力。
佑三被千万用户评价为“家庭小药箱”和"衣兜里的医生"!佑三护理膏（始创于）——源于身体的智慧
世界首创——人体细胞潜能激活剂！
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