Schmidbaur W, Korda-Schmidbaur P, Wienbeck M
III. Medizinische Klinik, Zentralklinikum Augsburg.
Ther Umsch. 1994 Mar;51(3):190-202.
Therapy of constipation is complex. It is mainly based on general rules and treatment with dietary fibres. If drugs are necessary they should be applied according to the type of constipation as evidenced by the results of special diagnostic procedures. Surgical treatment is only the last choice. The aim of therapy is to relieve the patient from his symptoms and achieve a habit of regular defecation, if possible without the application of laxatives. The foremost problem in the treatment of constipation is to interrupt the vicious circle 'constipation/abuse of laxatives.' Many patients only consult a physician when they are already in that 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以及膳食纤维治疗。如有必要使用药物，应根据特殊诊断程序结果所证实的便秘类型来应用。手术治疗只是最后的选择。治疗的目的是使患者缓解症状，并养成规律排便的习惯，如有可能，不使用泻药。便秘治疗中最主要的问题是打破“便秘/滥用泻药”的恶性循环。许多患者在已经陷入这个问题时才咨询医生。此时治疗就变得困难。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。
