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慢性功能性便秘中西医治疗进展 被引量:16

Treatment Progress of Integrative Medicine on Chronic Functional Constipation
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摘要 慢性功能性便秘[1](Chronic Functional Constipation,CFC)是指除外肠道或全身器质性病因以及药物因素,而以结直肠及肛门功能性改变为特征的排便障碍,其病程至少达到6个月。临床表现主要以排便困难、排便次数减少、粪质变硬或有排便不尽感为特征。流行病学资料显示,北京地区18~70岁成年人慢性便秘的发病率为6.07%,女性是男性的4倍以上,且精神因素是高危因子[2],随年龄的增长,便秘的发生率和程度也随之增加。便秘已严重影响了现代人的生活质量,且在结肠癌、肝性脑病、急性心肌梗死、脑血管意外等疾病的发生中有重要作用,因此早期预防和合理治疗便秘将会大大减轻便秘带来的严重后果和社会负担。西医西药目前大多数是对症治疗,疗效并不是很满意,中医药注重从整体上调节脏腑的阴阳气血平衡,治病求本,对症对因治疗,必将发挥重要的作用,现将CFC的中西医治疗进展做一综述。 Chronic functional constipation refers to difficulties in bowel movement characterized by functional change in rectum and anus, except for gastro-intestinal or systemic causes and drug factors. Its course can reach at least 6 months and its symptoms are mainly characterized by difficuhies in bowel movement, reduction in defection times, stiffening of excrement nature or endless sensation of defection. The epidemiological statistics shows that the incidence rate of CFC during the age of 18-70 is 6.07% in Beijing area, where the incidence rate of CFC in female is more than 4 times as the male, and it also reveals psychological factor is a high-risk factor in CFC. The incidence rate and degree of CFC increases as age grows. Constipation has seriously influenced the life quality of mordent people, and it also plays an important role in the incidence of colon cancer, Hepatic encephalopathy, acute myocardial infarction and cerebral vascular accident. So taking early intervention and reasonable treatment in curing CFC will greatly reduce the serious consequences and social burden brought by CFC. Western medicine mainly takes symptomatic treatment to cure CFC, and its efficacy is not very satisfying. However, Chinese medicine focus on keeping the halacenee of yin, yan, gas and blood of organs from a integrated angle, seeking the root when curing disease and taking symptomatic and factor treatment, and it will inevitably play an important role in curing CFC. Now I'd like to give an overview about the Treatment progress of integrative medicine on Chronic Functional Constipation.
出处 《辽宁中医药大学学报》 CAS 2010年第4期228-231,共4页 Journal of Liaoning University of Traditional Chinese Medicine
关键词 慢性功能性便秘 治疗进展 中西医 综述 chronic functional constipation treatment progress integrative medicine overview
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