Koletzko S
Kinderpoliklinik, Universität München.
Kinderarztl Prax. 1993 Oct;61(7-8):245-9.
Chronic constipation is a common problem in paediatric practice. The majority of the toddlers can be successfully treated by conventional therapy. Young infants with constipation or older children with longstanding stool impaction with or without encopresis should be referred to a centre for further diagnostic and therapeutic management. Children with a paradoxical contraction of the external anal sphincter during attempted defecation on anorectal manometry profit form bio-feedback-training by learning a normal defecation pattern.
慢性便秘是儿科临床常见问题。大多数幼儿可通过传统疗法成功治愈。患有便秘的小婴儿或存在长期粪便嵌塞(无论有无大便失禁)的大龄儿童应转诊至相关中心进行进一步的诊断和治疗管理。在肛门直肠测压时,排便尝试过程中肛门外括约肌出现反常收缩的儿童,通过学习正常排便模式,可从生物反馈训练中获益。