功能性便秘和便秘型肠易激综合征-我们能鉴别吗?  

Can we differentiate functional constipation and irritable bowel syndrome with constipation?

作　　者：辛海威[1] 方秀才[1] 柯美云[1] 

机构地区：[1]中国医学科学院北京协和医学院北京协和医院消化内科,北京100730

出　　处：《胃肠病学和肝病学杂志》2013年第2期158-162,共5页Chinese Journal of Gastroenterology and Hepatology

基　　金："十一五"国家科技支撑计划资助项目(2007BAI04B01);863计划课题(2010AA023007)

摘　　要：功能性便秘(functional constipation,FC)和便秘型肠易激综合征(irritable bowel syndrome with constipation,IBS-C)同属于功能性肠病,两者均表现为便秘,在临床中容易造成混淆;对IBS-C患者仅针对便秘症状进行治疗,疗效有限。现就两种疾病的流行病学、临床表现、病理生理机制和治疗等方面的区别作一综述。Functional constipation （ FC ） and irritable bowel syndrome with constipation （ IBS-C ） are 2 patterns of functional bowel disorders which present with symptoms of constipation. The symptom-based criteria for FC and IBS-C are usually confused in clinical practice. Management for IBS-C only focused on constipation symptoms could not achieve satisfactory efficacy. We try to identify the differences between FC and IBS-C from epidemiology, clinical characteristics, pathophysiology and responses to treatment in this review.

关 键 词：功能性便秘 便秘型肠易激综合征 鉴别诊断 临床表现 病理生理 治疗 

分 类 号：R574.62[医药卫生—消化系统]