摘要
功能性便秘根据结肠动力学特点和肛门直肠功能可分为三类:慢传输型便秘、出口梗阻型便秘和混合型便秘。功能性便秘的诊断目前采用罗马Ⅲ诊断标准,须注意排除器质性病变所致。对于功能性便秘,目前尚无确切有效的治疗药物和方案。在治疗上采取个体化综合性的治疗措施,包括生活习惯、饮食结构调整及合理选择药物等,生物反馈治疗是功能性出口梗阻型便秘患者的首选治疗,而外科手术可能对部分严重慢传输型便秘患者有良好效果。
Summary：Assessments of colonic transit and anorectal functions are applied to categorize constipated patients into three groups, including slow transit constipation, outlet obstructive constipation and mixed constipation. The diagnosis of functional constipation is based on the ROME Ⅲ criteria. Special attention should be paid to secondary constipation resulting from a variety of organic diseases. Management of functional constipation is hindered by both poor efficacy and adverse effects of traditional pharmacological therapy. Further, there is a considerable range of treatment modalities available for patients with functional constipation, but the clinical evidence supporting their use varies widely. Special attention is given to modern approaches to individual therapy including correction of life style and dietary habits as well as the choice of adequate drug therapy. For patients with functional outlet obstructive constipation, biofeedback therapy is the first therapeutic choice. Only patients who have been evaluated by physiologic testing and proven to have severe slow colonic transit constipation may benefit from surgery.
出处
《中国实用内科杂志》
CAS
CSCD
北大核心
2011年第2期158-160,共3页
Chinese Journal of Practical Internal Medicine
关键词
功能性便秘
药物治疗
functional constipation
drug therapy
