Borre Mette, Qvist Niels, Raahave Dennis, Worsøe Jonas, Ærthøj Jørgen Peter, Christensen Peter, Krogh Klaus
Medicinsk Hepatologisk og Gastroenterologisk Afdeling V, Aarhus Universitetshospital.
Ugeskr Laeger. 2015 Apr 6;177(15):V09140498.
First-line treatment of constipation includes dietary fibre, fluid and exercise. The evidence for these recommendations is, however, scarce. Increased intake of fibre will reduce colonic transit time and improve the frequency and consistency of stools in 50% of patients. Bloating and flatulence are common side effects to highly fermentable fibres. Daily intake of 2 l of water enhances the positive effects of fibre and 30 min. exercise per day also alleviates symptoms. Conservative treatment is usually insufficient and should be supplemented with laxatives or motility enhancing drugs.
便秘的一线治疗方法包括膳食纤维、液体摄入和运动。然而，这些建议的证据并不充分。增加纤维摄入量可减少结肠转运时间，并改善50%患者的大便频率和稠度。腹胀和肠胃胀气是高发酵性纤维常见的副作用。每天摄入2升水可增强纤维的积极作用，每天进行30分钟运动也可缓解症状。保守治疗通常并不充分，应补充泻药或促动力药物。
