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慢性便秘和慢病管理 被引量:16

Chronic constipation and chronic disease management
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摘要 城镇化、人口老龄化以及生活方式的改变带来全球疾病谱和医疗模式的巨大变革,慢性非传染性疾病成为21世纪危害人类健康的重要公共问题,其防控由"治疗为主"向"管理为主"转变,慢病管理(chronic disease management,CDM)模式应运而生.慢性便秘(chronic constipation,CC)起病隐匿,病因复杂,病程迁延,患病率高,诱发多种疾病,导致一系列健康问题,严重影响生活质量.目前医学界缓解CC的主流疗法是以"通便"为主的经验治疗,但便秘症状却越来越严重,症结何在?如何解决?期待将CDM模式应用于CC奏效.本文将就近年来CC国内外研究进展和CDM的实施现状简要述评. Urbanization,population aging and lifestyle changes have resulted in great changes in global disease pattern and medical model.Chronic non-communicable diseases have become the main cause of premature death around the world in the 21-(st) century,and their prevention and control have also changed from "treatment" to "management".As a result,chronic disease management(CDM) model arises.Chronic constipation(CC) has a hidden onset,complex etiology,prolonged course,and high prevalence,and it can induce a variety of diseases and affect the quality of life seriously.Mainstream therapy for CC is empirical treatment for facilitating feces excretion,but it may lead to more serious symptoms.Application of the CDM model to CC management may solve this problem.In the current review,we will discuss the progress in research of CC and the current status of CDM.
作者 卜佳 许翠萍
出处 《世界华人消化杂志》 CAS 2016年第30期4162-4168,共7页 World Chinese Journal of Digestology
关键词 慢性便秘 慢病管理 慢性非传染性疾病 Chronic constipation Chronic disease management Non-communicable chronic diseases
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