中国实用儿科杂志

中国实用儿科杂志 ›› 2026, Vol. 41 ›› Issue (4): 310-315.DOI: 10.19538/j.ek2026040609

• 专题笔谈 • 上一篇    下一篇

儿童便秘的病因识别与处理

  

  1. 郑州大学附属儿童医院（郑州市儿童消化疾病重点实验室）  河南省儿童医院  郑州儿童医院消化内科，河南  郑州  450018
  • 出版日期:2026-04-06 发布日期:2026-05-12
  • 通讯作者: 李小芹，电子信箱：lixiaoqinys@126.com

Etiological identification and management of pediatric constipation

  1. Department of Gastroenterology，Zhengzhou Key Laboratory of Children’s Digestive Diseases，Children’s Hospital Affiliated to Zhengzhou University（Henan Children’s Hospital，Zhengzhou Children’s Hospital），Zhengzhou  450018，China
  • Online:2026-04-06 Published:2026-05-12

摘要： 便秘是儿科常见疾病之一，分为器质性便秘和功能性便秘，其中功能性便秘占90%以上。近年来儿童便秘患病率呈逐年上升趋势，约1/3患儿表现为难治性功能性便秘，严重影响了其生活质量和学业，甚至导致生长发育障碍、引发心理行为问题。随着医学研究的不断深入，儿童便秘的病因识别、诊断方法和处理手段不断取得进展。文章梳理了儿童便秘的病因、诊断及处理等最新进展，为儿童便秘的个体化综合治疗提供参考。

关键词: 便秘, 病因, 处理, 儿童

Abstract: Constipation is one of the common pediatric conditions，categorized into organic constipation and functional constipation，with the latter accounting for over 90% of cases. The prevalence of childhood constipation has shown an increasing trend in recent years，with approximately one-third of cases presenting as refractory functional constipation，which significantly impacts children’s quality of life and academic performance，even leading to growth and developmental delays as well as psychological and behavioral problems. With the continuous advancement in medical research，continuous progress has been made in identification of the causes，diagnostic methods and management approaches for childhood constipation. This article reviews recent advances in the etiology，diagnosis and management of pediatric constipation to provide references for individualized comprehensive treatment of childhood constipation.

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