Schmidbaur W, Wienbeck M
III. Medizinische Klinik, Zentralklinikum Augsburg.
Zentralbl Chir. 1999;124(9):825-32.
Therapy of constipation is complex. It is mainly based on general rules and treatment with dietary fibers. If drugs are necessary they should be applied according to the type of constipation as evidenced by the results of special diagnostic procedures. Some patients may improve with psychotherapeutic procedures. Surgical treatment should be the last choice. The aim of therapy is to relieve the patient from his symptoms and achieve a habit of regular defecation, if possible with only a small amount of laxatives--or better without the application of drugs. Most often a highly individualized therapy is necessary. Many patients consult their doctor only when they have already a grave problem. Therapy then becomes difficult. Information on bowel movements and on how to prevent constipation by the way of living, therefore, should be widely spread in the general population in order to minimize constipation as a medical problem.
便秘的治疗很复杂。它主要基于一般原则和膳食纤维治疗。如有必要使用药物，应根据特殊诊断程序的结果所证明的便秘类型来应用。一些患者可能通过心理治疗程序得到改善。手术治疗应是最后的选择。治疗的目的是缓解患者的症状，并养成规律排便的习惯，如有可能，仅使用少量泻药——或者更好的是不使用药物。大多数情况下，需要高度个体化的治疗。许多患者只有在已经出现严重问题时才会咨询医生。那时治疗就会变得困难。因此，关于排便以及如何通过生活方式预防便秘的信息应在普通人群中广泛传播，以将便秘作为一个医学问题的发生率降至最低。
