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目的回顾性综合分析临床上功能性便秘的诊查和治疗。方法对50例功能性便秘的一般资料、临床分类、临床表现、实验室及辅助检查、治疗和转归的综合分析。结果50例病人中有40例得到1年以上随访,最长随访时间7年余,10例因联系方式变动或去世而失访。其中10例经药物治疗后遵循健康指导达到临床症状缓解,25例维持药物治疗情况下临床症状缓解,10例药物治疗无效或药物治疗不能耐受。结论功能性便秘的临床诊断和鉴别诊断并不困难,治疗上应同等重视药物治疗和健康指导。
Objective To retrospectively analyze the clinical diagnosis and treatment of functional constipation. Methods A total of 50 cases of functional constipation general information, clinical classification, clinical manifestations, laboratory and auxiliary examination, treatment and outcome of a comprehensive analysis. Results Forty patients in 50 cases were followed up for more than one year, the longest follow-up time was more than 7 years and 10 cases were lost due to the change of contact or death. Of the 10 cases, the clinical symptoms were followed up after the medical treatment, and the clinical symptoms were relieved in 25 cases under the condition of drug treatment. The treatment of 10 cases was ineffective or the drug treatment could not tolerate. Conclusion Functional constipation clinical diagnosis and differential diagnosis is not difficult, treatment should pay equal attention to drug treatment and health guidance.