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老年人功能性便秘临床常见,治疗困难。我们采用新型胃肠动力药西沙必利(cisapride,普瑞博思)治疗老年人功能性便秘24例,取得了较好的疗效。 1 资料与方法 1.1 病例来源 24例均住院,经纤维结肠镜或钡剂灌肠检查排除结肠炎症、结核、肿瘤、梗阻等器质性病变,排便时间>48h。性别及年龄:男19例,女5例;年龄60岁～84岁,平均69岁。病程:便秘1a～3a 4例,4a～6a 7例,>8 a13例。 1.2 治疗方法 全部病例服用西沙必利,tid,每次10 mg,4周一疗程。2疗程为限,有效继续巩固治疗,每次量减为5mg,无效不再继续使用,有效病例出院后,继续随访2个月。 2 结果 ①以排便间隔时间作为疗效判断依据。痊愈:排
Common functional constipation in the elderly, treatment difficulties. We use the new gastrointestinal motility drug cisapride (cisapride, Puri Boss) in the treatment of 24 elderly patients with functional constipation, and achieved good results. 1 Materials and Methods 1.1 Case Sources 24 patients were hospitalized by colonoscopy or barium enema colon check exclude colitis, tuberculosis, cancer, obstruction and other organic lesions, defecation time> 48h. Gender and age: 19 males and 5 females; aged 60 years to 84 years, mean 69 years. Course of disease: constipation 1a ~ 3a 4 cases, 4a ~ 6a 7 cases,> 8 a13 cases. 1.2 Treatment All patients taking cisapride, tid, each 10 mg, 4 Monday treatment. 2 course of treatment is limited, effectively continue to consolidate the treatment, each reduced to 5mg, invalid no longer continue to use, effective cases were discharged from the hospital, continue for 2 months. 2 Results ① defecation interval as the basis for the efficacy of judgment. Healed: row