功能性便秘

Functional Constipation

功能性便秘是常见的慢性便秘,罗马III提出了新的诊断标准。功能性便秘的一般治疗包括定期排便、增加活动、增加纤维素摄取,改变生活方式和调整情绪。慢传输型便秘的药物选择膨胀性泻药、渗透性泻剂、促动力剂、氯通道激活剂等。功能性排便障碍型患者可选择生物反馈治疗。治疗成功后应调节剂量,维持疗效。外科治疗应有严格的适应证。进一步研究结肠动力与排便生理,以提高对疾病的认识和提出有效的治疗。

Functional constipation is a common disorder among patients with chronic constipation. Diagnostic criteria of functional constipation was established by Rome III. General management includes regular visits to the toilet, physical exercise, fiber supplementation, modulation of lifestyle and emotion. Bulk laxatives, osmotic laxatives, prokinetic agent, chloride channel activators could be chosen in slow transit constipation. Patients with functional defecation disorders may choose biofeedback therapy. Once therapy improves constipation, it is needed to maintain efficacy. Surgical therapy is only used in carefully selected cases. Further studies on colon motility and defecation physiology still need to be performed to enhance efficacy of theraov.