功能性便秘的慢病管理

戴宁

doi:10.3969/j.issn.1671-038X.2023.11.03

功能性便秘的慢病管理

戴宁^1, ,

- 浙江大学医学院附属邵逸夫医院消化内科(杭州，310016)

详细信息

作者简介:
戴宁，浙江大学医学院附属邵逸夫医院教授、主任医师；医学博士、博士研究生导师。中华医学会消化病学分会胃肠功能性疾病协作组副组长；中国研究型医院学会神经胃肠病学专业委员会副主任委员；浙江省医学会消化分会副主任委员；浙江省医师协会消化医师分会副会长；浙江省胃肠动力学组组长；浙江省消化心身联盟主任委员。主要进行功能性胃肠病、胃肠动力障碍性疾病和消化心身疾病的研究

通讯作者: 戴宁，E-mail：2267454962@qq.com

中图分类号: R256.35

收稿日期: 2023-07-15

刊出日期: 2023-11-15

Chronic disease management of functional constipation

DAI Ning^1, ,

- Department of Gastroenterology, Sir Run Run Shaw Hospital Affiliated to Zhejiang University School of Medicine, Hangzhou, 310016, China

More Information

Corresponding author: DAI Ning, E-mail: 2267454962@qq.com

Received Date: 15 July 2023

Publish Date: 15 November 2023

摘要

摘要: 功能性便秘(functional constipation，FC)的患病率高，发病机制复杂，病程迁延，治疗棘手，严重影响患者的生活质量，其特征属于慢病的范畴，规范化的FC慢病管理具有重要价值。根据FC病情严重程度和可能的病理生理机制进行分级诊断及分层的个体化综合治疗是FC慢病管理的有效举措，可显著改善患者的便秘症状，提高生活质量，降低医疗费用。
- 功能性便秘 /
- 慢病管理
Abstract: Functional constipation(FC) is highly prevalent with complex pathogenesis and prolonged course and is difficult to treat. FC seriously affects the quality of life of patients. It is characterized as a chronic disease. According to the severity of FC and the possible pathophysiological mechanism, hierarchical diagnosis and individualized comprehensive treatment are effective for FC, which can significantly improve the symptoms of FC patients, improve the quality of life, and reduce medical costs.
- functional constipation /
- chronic disease management

HTML全文

参考文献(12)

[1]	Chen Z, Peng YY, Shi QY, et al. Prevalence and risk factors of functional constipation according to the Rome criteria in China: a systematic review and meta-analysis[J]. Front Med(Lausanne), 2022, 9: 815156.
[2]	Mearin F, Lacy BE, Chang L, et al. Bowel disorders[J]. Gastroenterology, 2016: S0016-S5085(16)00222-5.
[3]	中华医学会消化病学分会胃肠动力学组, 中华医学会消化病学分会功能性胃肠病协作组. 中国慢性便秘专家共识意见(2019, 广州)[J]. 中华消化杂志, 2019, 39(9): 577-598. doi: 10.3760/cma.j.issn.0254-1432.2019.09.001
[4]	Tantiphlachiva K, Rao P, Attaluri A, et al. Digital rectal examination is a useful tool for identifying patients with dyssynergia[J]. Clin Gastroenterol Hepatol, 2010, 8(11): 955-960. doi: 10.1016/j.cgh.2010.06.031
[5]	Oblizajek NR, Gandhi S, Sharma M, et al. Anorectal pressures measured with high-resolution manometry in healthy people-Normal values and asymptomatic pelvic floor dysfunction[J]. Neurogastroenterol Motil, 2019, 31(7): e13597. doi: 10.1111/nmo.13597
[6]	Rao SS. Constipation: evaluation and treatment[J]. Gastroenterol Clin North Am, 2003, 32(2): 659-683. doi: 10.1016/S0889-8553(03)00026-8
[7]	Sikirov D. Comparison of straining during defecation in three positions: results and implications for human health[J]. Dig Dis Sci, 2003, 48(7): 1201-1205. doi: 10.1023/A:1024180319005
[8]	Xiao Y, Xu F, Lin L, et al. Transcutaneous electrical acustimulation improves constipation by enhancing rectal sensation in patients with functional constipation and lack of rectal sensation[J]. Clin Transl Gastroenterol, 2022, 13(5): e00485. doi: 10.14309/ctg.0000000000000485
[9]	宋玉磊, 林征, 林琳, 等. 生物反馈治疗联合综合护理干预对功能性便秘患者临床症状及生活质量的影响[J]. 中华护理杂志, 2012, 47(6): 485-487. doi: 10.3761/j.issn.0254-1769.2012.06.001
[10]	Hosseinzadeh ST, Poorsaadati S, Radkani B, et al. Psychological disorders in patients with chronic constipation[J]. Gastroenterol Hepatol Bed Bench, 2011, 4(3): 159-163.
[11]	Bassotti G, Usai Satta P, Bellini M. Chronic idiopathic constipation in adults: a review on current guidelines and emerging treatment options[J]. Clin Exp Gastroenterol, 2021, 14: 413-428. doi: 10.2147/CEG.S256364
[12]	中华医学会消化病学分会胃肠动力学组, 中华医学会外科学分会结直肠肛门外科学组. 中国慢性便秘诊治指南(2013年, 武汉)[J]. 中华消化杂志, 2013, 33(5): 291-297. https://xuewen.cnki.net/CCND-CZLB202307190010.html