功能性便秘和便秘型肠易激综合征-我们能鉴别吗?

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 u-sually 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.