直腸低敏感性與便秘

摘要 直腸低敏感性（RH）與便秘息息相關(guān)，在便秘患者中普遍存在。直腸感覺(jué)異常、結(jié)腸動(dòng)力障礙和排便協(xié)調(diào)障礙是慢性便秘的重要病因，三者相互影響且關(guān)系密切。本文就RH與結(jié)腸動(dòng)力障礙、排便協(xié)調(diào)障礙的相關(guān)性以及RH的發(fā)病機(jī)制、診斷和治療作一綜述。

關(guān)鍵詞 直腸低敏感性； 便秘； 診斷； 治療

Rectal Hyposensitivity and Constipation PENG Shuang， LIU Shi. Department of Gastroenterology， Union Hospital， Tongji Medical College， Huazhong University of Science and Technology， Wuhan （430022）

Correspondence to： LIU Shi， Email： [email protected]

Abstract Rectal hyposensitivity （RH） is closely related to constipation and is common in patients with constipation. Abnormal rectal sensation， colonic motility disorder and defecation coordination disorder are important causes of chronic constipation， which have close relationship with each other. This article reviewed the correlation between RH and colonic motility disorder， defecation coordination disorder， and the pathogenesis， diagnosis and treatment of RH.

Key words Rectal Hyposensitivity; Constipation; Diagnosis; Therapy

早在1951年術(shù)前副交感神經(jīng)阻滯患者中發(fā)現(xiàn)了直腸感覺(jué)下降[1]，后來(lái)在特發(fā)性便秘患者中證實(shí)了直腸低敏感性（rectal hyposensitivity， RH）的存在[2]。（剩余19587字）