慢性便秘的诊断和分型对治疗的指导意义

Therapeutic Strategy of Chronic Constipation Based on Diagnosis and Subtyping

慢性便秘是一种常见病症,临床医师在详细采集病史的基础上,应充分了解引起便秘的病因,以排除器质性便秘的可能性;对功能性便秘患者,根据便秘主要症状推断可能的病理生理学机制、结合结肠和肛门直肠功能检查进行分型,进而指导并选择治疗是提高疗效的有效途径。

Chronic constipation is a common illness. It is important for physicians to collect the patient＇ s history in details, recognize the cause of constipation, and exclude organic diseases before the administration of treatment. Identification of physiological subgroup （ i. e. slow transit constipation or defecation disorders ） according to features of constipation symptom and results of functional test of colon and anal rectum might guide the subsequent treatment and improve the efficacy of therapy for functional constipation.