老年人慢性便秘处理的若干问题

摘要

Chronic constipation is one of the common health problems in the elderly and occurs in the form of primary and secondary constipation. The former is functional and the latter is related to organic diseases and drugs. To understand its etiology,risk factors and complications,the relevant clinical assessment and alarming signs should be attended. The treatment of chronic constipation includes non-pharmacologic,pharmacologic and surgical approaches. It is necessary to practice a three-stage treatment process of chronic constipation in accordance with the situation in China.%慢性便秘是老年人群卫生保健的常见问题之一,分为原发性和继发性便秘.原发性便秘大多属于功能性便秘,而继发性便秘多与器质性疾病和药物有关.应正确认识老年人便秘的病因、危险因素、并发症,注意老年人便秘的临床评估和报警征象.慢性便秘的治疗包括非药物治疗、药物治疗和手术治疗.根据我国目前具体情况,试行慢性便秘三级诊治流程是必要的.