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药物性便秘:常见致便秘药物总结和防治策略

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便秘是临床常见症状,常继发于药物或其他疾病.多种常见药物如镇痛药、抗胆碱能药、5-羟色胺受体拮抗剂等可诱发便秘,即药物性便秘.本文就诱发便秘的常见药物进行分类,对其药理机制、分型、相关临床试验和动物实验数据进行分析总结,以指导临床医师通过调整药物或用药途径、改变生活方式以及合理使用泻剂或外周作用的µ-阿片受体拮抗剂等方式进行药物性便秘的防治.
Drug-induced Constipation:Summarization of Common Drugs Causing Constipation and Strategies for Prevention and Treatment
Constipation is a common clinical symptom,often secondary to drugs or other disorders.Various common drugs such as analgesics,anticholinergic drugs,5-hydroxytryptamine receptor antagonists,etc.,can induce constipation,namely drug-induced constipation.This article categorized the common drugs that trigger constipation,analyzed and summarized the pharmacological mechanisms,classification,relevant clinical trials and animal experiment data,in order to guide clinicians in the prevention and treatment of drug-induced constipation through adjusting drugs or administration routes,modifying lifestyles,and using laxatives or peripherally acting µ-opioid receptor antagonists rationally.

ConstipationDrugsPreventionTherapy

康颖、王美峰、汤玉蓉、汪芳裕、林琳

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东部战区总医院消化内科(210002)

南京医科大学第一附属医院消化内科

便秘 药物 预防 治疗

2024

胃肠病学
上海交通大学医学院附属仁济医院

胃肠病学

CSTPCD
影响因子:1.217
ISSN:1008-7125
年,卷(期):2024.29(5)