伴有情绪障碍的功能性排空障碍

doi:10.3877/cma.j.issn.2095-655X.2016.03.006

功能性便秘、功能性排便障碍是功能性胃肠道疾病(FGIDs)的一些常见疾病。但在如何定义功能性便秘，以及如何对功能性便秘、功能性排便障碍进行归类，无论是"罗马Ⅲ标准"，还是国内的"慢性便秘的诊治指南(2013年，武汉)"，均存在值得商榷的地方。功能性便秘的主要障碍在于结肠转运时间(CTT)的延长，而功能性排便障碍即功能性出口梗阻，则是直肠肛门抑制反射的异常。尽管这是两种不同的疾病，但均能引起粪便排空障碍。因此建议将功能性便秘与功能性出口梗阻合并在功能性排空障碍(FED)名称下，功能性便秘和功能性出口梗阻既可单独存在，也可合并存在。功能性排空障碍常常伴有情绪障碍，有情绪障碍背景的功能性排空障碍需要做情绪和躯体两方面症状的联合治疗。

关键词: 功能性便秘, 功能性排空障碍, 情绪障碍

Functional constipation and functional defecation disorders are common types of functional gastrointestinal disorders.However, it still deserves further discussion on the definition of functional constipation and the classification of both functional constipation and functional defecation disorders, in spite of the existence of Rome Ⅲ and domestic "guidelines of diagnosis and treatment of chronic constipation (2013, Wuhan). " The main physiological disorder of functional constipation is the prolongation of the conlonic transit time (CTT), while functional defecation disorders, so called functional outlet obstruction, lies in the abnormality of rectoanal reflex.So it is suggested to classify both the functional constipation and functional outlet obstruction into the term of functional evacuation disorder(FED). Those two kinds of disorder can exist independently and concurrently.FED often accompanies by emotional disorders.It necessitates the combination therapy of emotional and somatic symptoms when treating the FED accompanied with emotional disorders.

Key words: Functional constipation, Functional evacuation disorder, Mood disorders

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Functional evacuation disorder accompanied with emotional disorders

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Functional evacuation disorder accompanied with emotional disorders