【摘要】 功能性排便障碍(FDD)是一种常见的慢性便秘,不仅对患者的生活质量有严重的影响,还有可能会导致抑郁、焦虑等心理问题。根据FDD的发病机制,罗马Ⅳ标准将其分为排便推进不足(IDP)和不协调性排便(DD)两种亚型。目前临床上治疗FDD的方法众多,主要包括调整生活方式、药物治疗、生物反馈、骶神经刺激、精神心理疗法、中医治疗、外科手术等。有研究表明,不同治疗方法对FDD不同亚型的治疗效果可能存在差异。因此,文章就FDD的治疗方法进行综述,探究相应有效规范、合适的疗法。更多还原

【Abstract】 Functional defecation disorders(FDD) is a common chronic constipation,which not only has a serious impact on the quality of life of patients,but may also lead to psychological problems such as depression and anxiety.According to the pathogenesis of FDD,the Rome Ⅳ criteria classify it into two subtypes:inadequate defecatory propulsion(IDP) and dyssynergic defecation(DD).At present,there are many treatments to FDD in clinic,mainly including lifestyle adjustments,medication therapy,biofeedback,sacral nerve stimulation,psychotherapy,Chinese traditional treatment,surgery,etc.There are studies indicating that different treatments may have different therapeutic effects on different subtypes of FDD.Therefore,this article summarizes the treatment of FDD and explores an effective,standardized and appropriate treatment.更多还原