Chronic constipation refers to a reduction in the frequency of bowel movements and difficulty in defecation lasting for more than 6 months, with a comprehensive incidence rate of 15% in the population. Chronic constipation is a significant health concern that greatly affects the quality of life of patients and results in substantial healthcare resource consumption. Current common treatment strategies include lifestyle modifications, pharmacological therapy, biofeedback therapy, enemas, and surgical procedures, but the effectiveness of these approaches remains limited. Colonic electrical stimulation therapy is a newly proposed treatment strategy in recent years, which involves the application of external electrical current to correct abnormal physiological activities related to defecation. This article provides an overview of the mechanisms, efficacy, and factors influencing the use of colonic electrical stimulation in the treatment of chronic constipation, as well as a summary of the advantages of colonic electrical stimulation and possible challenges for future development.
慢性便秘是指持续 6 个月以上的排便次数减少及排便困难,在人群中综合发病率为15%。慢性便秘是一个重要的健康问题,极大地影响着患者的生活质量,同时会带来巨大的医疗资源消耗。目前,常见的治疗策略包括调整生活方式、药物治疗、生物反馈治疗、灌肠及手术治疗,但是效果均欠佳。近年来提出的结肠电刺激疗法,是一种新的治疗慢性便秘的策略。其通过施加外来电流,从而纠正异常的排便生理活动。本文概述了结肠电刺激治疗慢性便秘的机制、疗效以及影响因素,并对结肠电刺激的优势及未来发展可能面临的挑战进行总结。.