直肠敏感性异常在功能性排便障碍中的重要性  

Importance of Rectal Sensitivity Abnormalities in Functional Defecation Disorders

作　　者：张灵 丁雨 林琳[1] ZHANG Ling;DING Yu;LIN Lin(Department of Gastroenterology, the First Affiliated Hospital With Nanjing Medical University, Nanjing,210029)

机构地区：[1]南京医科大学第一附属医院消化科

出　　处：《胃肠病学》2019年第7期440-443,共4页Chinese Journal of Gastroenterology

基　　金：国家自然科学基金(81670490)

摘　　要：多项研究表明,内脏敏感性异常与肠道功能紊乱的发生相关。功能性排便障碍(FDD)为便秘类型之一,可表现为排便费力、排便有不尽感、需要手法辅助排便等,严重影响患者的生活质量。有研究发现,64%的不协调排便患者伴有直肠感觉减退,而直肠低敏感(RH)患者最常见的症状为便秘。由此可见,直肠敏感性异常(特别是RH)与FDD密切相关。本文就直肠敏感性异常与FDD的相关性以及FDD的常见病因、检测方法和治疗作一综述。Many studies have shown that visceral sensitivity abnormalities are associated with the occurrence of intestinal dysfunction. Functional defecation disorders (FDD) is a type of constipation characterized by difficulty in stool passage, sensation of incomplete evacuation, or need for manual maneuvers to pass stool, which seriously affects patient’s quality of life. It is reported that 64% of obstructive defecation patients having impaired rectal sensation, and the most common symptom of patients with rectal hyposensitivity (RH) is constipation. It can be hypothesized that rectal sensitivity abnormalities (especially RH) are closely related to FDD. This article reviewed the advances in study on the correlation between rectal sensitivity abnormalities and FDD, the etiological factor, examination and treatment of FDD.

关 键 词：功能性排便障碍 直肠敏感性异常 检查 治疗 

分 类 号：R574.62[医药卫生—消化系统]