慢性腹泻相关因素及治疗措施.docVIP

慢性腹泻相关因素及治疗措施 　　【摘要】 目的：探讨慢性腹泻的相关因素，采取相应的治疗措施，以降低慢性腹泻的发生率，改善患者预后。方法：回顾性分析2010年8月-2014年6月在笔者所在医院收治的168例慢性腹泻患者的临床资料。临床主要表现为不同程度的腹痛、腹胀、腹泻，大便呈稀水样、糊状、黏液样、黏液脓血样便，治疗方法主要有病因治疗、替代治疗及对症支持治疗。治疗后跟踪随访6个月，以观察患者的临床治疗效果。结果：168例患者中，功能性腹泻52例，胃肠手术后腹泻41例，非特异性炎症38例，细菌性痢疾23例，寄生虫病9例，肠结核5例。随访6个月后，显效27例，有效128例，无效13例，治疗总有效率为92.26%。结论：对慢性腹泻的治疗首先要积极查找病因，针对病因选择合适的治疗方案，其次为对症支持治疗，保护胃肠道黏膜，尽快恢复肠道功能。 　　【关键词】 慢性腹泻； 相关因素； 治疗措施 　　中图分类号 R574.62 文献标识码 B 文章编号 1674-6805（2015）8-0023-03 　　【Abstract】 Objective：To investigate the related factors of chronic diarrhea，taking the corresponding treatment measures in order to reduce the incidence of chronic diarrhea and improve prognosis of patients.Method：The clinical data of 168 patients with chronic diarrhea admitted in our hospital from August 2010 to June 2014 were analyzed retrospectively.The major clinical manifestations were abdominal pain，abdominal distention，diarrhea，stool dilute water samples，paste，myxoid and mucus pus and blood stools.The treatment methods were mainly etiological treatment， alternative treatment and support therapy.Result：In 168 patients，52 patients with functional diarrhea，41 cases of diarrhea after gastrointestinal surgery，nonspecific inflammation in 38 cases，23 cases of bacillary dysentery，9 cases of parasitic disease， 5 cases of intestinal tuberculosis.After 6 months of follow-up，27 cases were markedly effective，effective was 128 cases，invalid was 13 cases，the total effective rate was 92.26%.Conclusion：Treatment for chronic diarrhea，first should actively look for the cause，for the cause of choosing the appropriate treatment，the second in the treatment of symptomatic support，protection of gastrointestinal mucosa，as soon as possible to restore the intestinal function. 　　【Key words】 Chronic diarrhea； Related factors； Treatment measures 　　First-author’s address：The First Hospital of Changsha City，Changsha 410005，China 　　doi：10.14033/j.cnki.cfmr.2015.08.011 　　慢性腹泻是发生在临床上的常见疾病，其发病原因主要是由于细菌、病毒、食物毒素或化学性毒物、肠过敏、药物作用等因素引起，具有关文献[1]报道，其发