儿童功能性便秘中西医结合诊治专家共识  

Expert consensus on intergrated Chinese and western diagnosis and treatment of functional constipation in children

作　　者：中华医学会儿科学分会消化学组 中华中医药学会儿童健康协同创新平台 《中国实用儿科杂志》编辑委员会 王雪峰 吴捷 李小芹 张秀英 Gastroenterology Group,the Society of Pediatrics,Chinese Medical Association;Children’s Health Collaborative Innovation Platform of China Association of Chinese Medicine;Editorial Committee of Chinese Journal of Practical Pediatrics;WU Jie;WANG Xue-feng

机构地区：[1]不详 [2]辽宁中医药大学附属医院 [3]国家儿童医学中心首都医科大学附属北京儿童医院 [4]河南省儿童医院

出　　处：《中国实用儿科杂志》2024年第12期887-893,共7页Chinese Journal of Practical Pediatrics

基　　金：深圳市“医疗卫生三名工程”项目(SZSM202311023);北京市医院管理中心“登峰”人才培养计划(DFL20221003)。

摘　　要：便秘(constipation)是儿童时期最常见的消化道症状之一,严重影响我国儿童的生活质量甚至身心发展,患儿常反复就医,增加了家庭和医疗负担。儿童便秘以功能性便秘(functional constipation,FC)居多。为规范儿童FC的中西医结合临床诊疗和长程管理,由中华中医药学会儿童健康协同创新平台专家委员会发起并组织国内该领域的部分中西医专家联合制定了专家共识。该共识从流行病学、病因、诊断标准、临床评估及临床管理等方面对FC进行了系统梳理,尤其是针对FC的不同阶段分别给出了中西互参的结合点,以期为儿童FC的中西医诊断与治疗提供合理化建议和参考,并推动FC中西医结合研究的发展。Constipation is one of the most common digestive symptoms in childhood.It seriously affects the quality of life and even the physical and mental development of children in China,and children with constipation often seek medical treatment repeatedly,which increases the burden on families and medical care.Functional constipation(FC)is the most common form of constipation in children.To standardize the clinical diagnosis,treatment,and long-term management of FC in children with integrated Chinese and Western medicine,the Expert Committee of the Collaborative Innovation Platform for Children's Health of the Chinese Society of Traditional Chinese Medicine(CSTCM)initiated and organized some Chinese and Western medicine experts in this field to jointly formulate this expert consensus.The Consensus systematically comprehends FC from the aspects of epidemiology,etiology,diagnostic criteria,clinical evaluation,and clinical management,and especially gives the combination points of Chinese and Western medicine for different stages of FC,to provide rationalized suggestions and references for the diagnosis and treatment of FC in children and promote the development of the research on the combination of Chinese and Western medicine in FC.

关 键 词：儿童 功能性便秘 中西医结合 诊断 治疗 

分 类 号：R72[医药卫生—儿科]