慢传输型便秘的中医中药治疗进展

Progress in Traditional Chinese Medicine Treatment for Slow Transit Constipation

慢传输型便秘(STC)是临床上常见的慢性顽固性便秘类型,综合的保守治疗往往效果欠佳,临床滥用泻剂的现象较为普遍,最终导致便秘的进行性加重。STC的病理生理机制多见于长期的不良生活习惯导致肠道刺激不足,排便动作缺乏,粪便在肠腔内滞留时间过久。而中医通过物理治疗(如按摩、针灸、耳穴按压)以及中药方剂治疗STC取得理想效果,与西医治疗相比不良反应少且安全性较高,临床应用价值显著。但目前中药临床与实验研究方面仍存在不足,未来应开展并设计更加严谨、质量高且样本量大的临床研究,以明确中药有效成分治疗STC的作用及机制。

Slow transit constipation(STC)is a common type of chronic intractable constipation in China,for which comprehensive conservative treatment is often ineffective,and clinical abuse of laxatives is common,eventually leading to progressive aggravation of constipation.The pathophysiological mechanism of STC is usually due to long-term unhealthy lifestyle habits causing insufficient intestinal stimulation,lack of bowel movements,and long feces stay in the intestinal cavity.Traditional Chinese medicine(TCM)has achieved satisfactory results through physical treatment(such as massage,acupuncture and auricular acupressure)and TCM prescription treatment,which has fewer adverse reactions and higher safety than western medicine,and has significant clinical applicative value.However,there are still deficiencies in the clinical and experimental research of TCM.In the future,more rigorous,high quality and large sample size clinical studies should be designed and carried out to clarify the role and mechanism of effective components of TCM in the treatment of STC.