儿童功能性便秘的生物反馈和心理行为治疗

Biofeedback and psychological-behavioural therapy for childhood functional constipation

儿童便秘是一种长期持续的胃肠功能障碍,该病可始于新生儿期,并可能持续至成人期,其中大多数为功能性便秘。慢性功能性便秘的病理生理基础是多因素的,涉及脑肠轴调控的心理行为能力和盆底功能失调,二者对发病有决定作用。传统的治疗方法常不能改善此类患儿的症状。目前儿科开展的包括教育、如厕培训和长期心理行为治疗及生物反馈治疗已显示了确切的临床疗效。

Constipation in children, an often long lasting functional gastrointestinal disorder, can start in the neonatal period and may continue into adulthood. Constipation in most of the children is functional. The pathophysiology of childhood chronic functional constipation is multifactorial. Psychological or behavioral problems and pelvic floor dysfunction involving the brain-gut axis seem to play a crucial role. The symptoms in such children can＇t be improved by conventional treatment. At pre- sent, psychological-behavioral therapies including education, toilet training, regular long-term follow-up and biofeedback therapy for childhood constipation have shown a definite clinical curative effect.