基于“脾肾相关”理论探析肠道菌群对老年功能性便秘的影响  

Exploration of the infl uences of intestinal fl ora on functional constipation in the elderly basedon the "spleen-kidney correlation" theory

作　　者：金世峰 周建华[2] 刘焜剑 隋楠[3] JIN Shifeng;ZHOU Jianhua;LIU Bingjian;SUI Nan(Changchun University of Chinese Medicine,Changchun 130117,China;Affi liated Hospital of Changchun University of Chinese Medicine,Changchun 130021,China;The Third Affi liated Hospital of Liaoning University of Traditional Chinese Medicine,Shenyang 110003,China)

机构地区：[1]长春中医药大学,长春130117 [2]长春中医药大学附属医院,长春130021 [3]辽宁中医药大学附属第三医院,沈阳110003

出　　处：《吉林中医药》2022年第12期1473-1476,共4页Jilin Journal of Chinese Medicine

基　　金：国家自然科学基金项目(82174370)。

摘　　要：功能性便秘是一种常见的临床症状,表现为排便困难、排便次数减少或排便不尽感,多见老年患者。脾肾两虚是其发病的重要因素之一,脾肾两脏分别为人体先天、后天之本,人体正常的生理活动需要二者维系。肠道菌群的失调能导致人体多种疾病的发生,且常与脾肾两脏相互影响。本文将从“脾肾相关”理论出发,探析肠道菌群对于老年功能性便秘的影响,为老年功能性便秘从脾肾论治提出理论依据,为中医药治疗老年功能性便秘拓展思路与方法。Functional constipation is a common clinical symptom and is characterized by diffi culty in defecation,decreased frequency or a sense of incomplete defecation.Commonly seen in elderly patients,the defi ciency of both the spleen and kidney is one of the key factors in its pathogenesis.The spleen and kidney are viewed as the congenital and acquired foundation of the human body respectively,and its normal physiological activities need to be maintained by them.The imbalance of intestinal flora,which often interacts with the spleen and kidney,can lead to a variety of diseases.This article will explore the infl uences of intestinal fl ora on functional constipation in the elderly from the theory of"spleen-kidney correlation",in a bid to provide a theoretical basis for the syndrome differentiation and treatment of the disease from the perspective of the spleen and kidney and to expand ideas and methods for its treatment in traditional Chinese medicine.

关 键 词：肠道菌群 脾肾相关 功能性便秘 

分 类 号：R256.35[医药卫生—中医内科学]