重视老年人慢性便秘的治疗

Treatment of chronic constipation for the elderly deserves great attention

慢性功能性便秘（CFC）是老年人的常见病，其危害不容忽视。CFC的治疗包括生活方式调整、药物、生物反馈、手术等多种方法，但老年人CFC的疗效仍差强人意，难治性便秘并不少见。为了进一步提高老年人CFC治疗水平，应给患者制订个体化的治疗方案，积极应用国内外推荐的慢性便秘处理流程，规范治疗行为，同时深入开展老年人CFC的治疗研究，利用多中心、双盲、随机、安慰剂对照临床研究，重新评价一些传统疗法、传统药物（尤其是中药）及新近上市药物治疗老年人CFC的疗效和安全性，为安全有效治疗老年人CFC提供更多的循证医学依据。

Chronic functional constipation （CFC） is a common disease in the elderly, and makes unignorable harm. There are many treatments of CFC, including lifestyle adjustments, drug interventions, biofeedback, surgery, etc. But the therapeutic effects among the elderly are unsatisfactory, so refractory constipation is not rare. To further improve the treatment efficiency of the elderly CFC, we should individualize treatment regimens according to every patient, and positively apply domestic and international recommended processes of CFC to regulate therapy. Meanwhile, profound research should be carried out on how to treat CFC in the elderly. Multi-center, double-blind, randomized, placebo-controlled clinical trials should be used to re-evaluate the efficacy and safety of CFC treatment in the elderly, mainly about conventional therapies, traditional medicines （especially traditional Chinese herbs） and newly listed drugs, in order to practice evidence-based-medicine more effectively for the CFC treatment in the elderly.