{"id":10395,"date":"2025-04-16T17:49:47","date_gmt":"2025-04-16T09:49:47","guid":{"rendered":"https:\/\/www.stdhc.org.hk\/express\/?p=10395"},"modified":"2025-04-22T10:36:25","modified_gmt":"2025-04-22T02:36:25","slug":"ibs-drug","status":"publish","type":"post","link":"https:\/\/www.stdhc.org.hk\/express\/ibs-drug\/","title":{"rendered":"\u8178\u6613\u6fc0\u7d9c\u5408\u75c7\u8207\u85e5\u7269\u6cbb\u7642"},"content":{"rendered":"<h3>\u8178\u6613\u6fc0\u7d9c\u5408\u75c7\uff08Irritable Bowel Symptom\uff0cIBS\uff09\u53c8\u7a31\u8178\u8e81\u75c7\uff0c\u662f\u4e00\u7a2e\u529f\u80fd\u6027\u8178\u80c3\u969c\u7919\u75be\u75c5\uff0c\u901a\u5e38\u6d88\u5316\u9053\u4e2d\u4e26\u6c92\u6709\u4efb\u4f55\u53ef\u898b\u7684\u640d\u50b7\u6216\u75be\u75c5\u8de1\u8c61\u3002\u8178\u6613\u6fc0\u7d9c\u5408\u75c7\u76ee\u524d\u5c1a\u7121\u5b8c\u5168\u6839\u6cbb\u65b9\u6cd5\uff0c\u6539\u8b8a\u751f\u6d3b\u3001\u98f2\u98df\u7fd2\u6163\u548c\u85e5\u7269\u6cbb\u7642\u901a\u5e38\u80fd\u5e6b\u52a9\u63a7\u5236\u75c7\u72c0\u3002<\/h3>\n<p>&nbsp;<\/p>\n<p>\u95dc\u65bc\u8178\u6613\u6fc0\u7d9c\u5408\u75c7\u7684\u75c5\u56e0\u53ca\u5404\u7a2e\u6cbb\u7642\u65b9\u6cd5\u5df2\u5728\u300c<a href=\"https:\/\/www.stdhc.org.hk\/express\/ibs-nondrug\/\">\u8178\u6613\u6fc0\u7d9c\u5408\u75c7\u8207\u975e\u85e5\u7269\u6cbb\u7642<\/a>\u300d\u4e00\u6587\u8ac7\u53ca\u3002\u672c\u6587\u96c6\u4e2d\u8b1b\u89e3\u9019\u75c5\u75c7\u7684\u85e5\u7269\u6cbb\u7642\uff0c\u5167\u5bb9\u7d9c\u5408\u82f1\u570b\u8178\u80c3\u75c5\u5354\u6703\uff08British Society of Gastroenterology\uff09\u53ca\u7f8e\u570b\u8178\u80c3\u79d1\u91ab\u5b78\u9662\uff08American College of Gastroenterology\uff09\u5206\u5225\u65bc2021\u5e74\u767c\u5e03\u8178\u6613\u6fc0\u7d9c\u5408\u75c7\u6307\u5f15\u7684\u5efa\u8b70\uff0c\u4e26\u8003\u616e\u5230\u5728\u9999\u6e2f\u672c\u5730\u7684\u7528\u85e5\u6a21\u5f0f\u3002\u4e0b\u5217\u300c\u4e00\u7dda\u300d\u53ca\u300c\u4e8c\u7dda\u300d\u85e5\u7269\u6307\uff0c\u7576\u4f7f\u7528\u300c\u4e00\u7dda\u300d\u85e5\u7269\u4ecd\u672a\u80fd\u6709\u6548\u7de9\u89e3\u75c7\u72c0\uff0c\u91ab\u751f\u6216\u6703\u8003\u616e\u4f7f\u7528\u300c\u4e8c\u7dda\u300d\u85e5\u7269\u3002<span style=\"color: #0000ff;\">\u8178\u6613\u6fc0\u7d9c\u5408\u75c7\u60a3\u8005\u5728\u4f7f\u7528\u4efb\u4f55\u85e5\u7269\u524d\u5b9c\u5148\u8aee\u8a62\u91ab\u751f\u6216\u85e5\u5291\u5e2b\uff0c\u4ee5\u514d\u8aa4\u5224\u75c5\u60c5\uff0c\u5ef6\u8aa4\u9069\u5207\u6cbb\u7642\u3002<\/span><\/p>\n<p>&nbsp;<\/p>\n<h4>\u8179\u75db\u85e5\u7269\u6cbb\u7642<\/h4>\n<p><em>\u6cbb\u7642\u6307\u5f15<\/em><\/p>\n<p>\u7b2c\u4e00\u7dda\u85e5\u7269\uff1a\u89e3\u75d9\u85e5\uff08Antispasmodics\uff09<\/p>\n<p>\u7b2c\u4e8c\u7dda\u85e5\u7269\uff1a\u4e09\u74b0\u6297\u6182\u9b31\u5291\uff08Tricyclic antidepressants, TCA)<\/p>\n<p>&nbsp;<\/p>\n<p><em>\u89e3\u75d9\u85e5<\/em><\/p>\n<p>\u89e3\u75d9\u85e5\u5982Alverine\u3001Hyoscine butylbromide\u3001Mebeverine\u3001Otilonium\u3001\u8584\u8377\u7cbe\u6cb9\uff08Peppermint oil\uff09\u548cTrimebutine \u53ef\u7528\u4f5c\u7de9\u89e3\u5e73\u6ed1\u808c\u75d9\u6523\u6240\u5f15\u8d77\u7684\u8179\u75db\u3002\u5728\u9999\u6e2f\uff0c\u5927\u90e8\u5206\u89e3\u75d9\u85e5\u53ea\u9700\u8981\u5728\u85e5\u5291\u5e2b\u76e3\u7763\u4e0b\u552e\u8ce3\u751a\u81f3\u7121\u9808\u7d93\u91ab\u8b77\u4eba\u54e1\u914d\u767c\u3002\u89e3\u75d9\u85e5\u5e38\u898b\u7684\u526f\u4f5c\u7528\u6709\u53e3\u4e7e\u3001\u8996\u529b\u6a21\u7cca\u3001\u982d\u6688\u3001\u56f0\u5026\u3001\u5c3f\u6eef\u7559\u3001\u4fbf\u79d8\u7b49\u3002<\/p>\n<p>&nbsp;<\/p>\n<p><em>\u4e09\u74b0\u6297\u6182\u9b31\u85e5<\/em><\/p>\n<p>\u7531\u65bc\u8178\u6613\u6fc0\u7d9c\u5408\u75c7\u7684\u8d77\u56e0\u8207\u300c\u8178\u8166\u4e92\u52d5\u969c\u7919\u300d\u6709\u95dc\uff0c\u91ab\u751f\u6709\u6a5f\u6703\u8655\u65b9\u7cbe\u795e\u79d1\u85e5\u7269\u7d66\u60a3\u8005\u4ee5\u7de9\u89e3\u6574\u9ad4\u8178\u6613\u6fc0\u7d9c\u5408\u75c7\u75c7\u72c0\uff0c\u800c\u4e09\u74b0\u6297\u6182\u9b31\u85e5\u6bd4\u8d77\u5e38\u898b\u8840\u6e05\u7d20\u985e\u6297\u6182\u9b31\u85e5\u5c0d\u65bc\u8178\u6613\u6fc0\u7d9c\u5408\u75c7\u7684\u6210\u6548\u8f03\u70ba\u986f\u8457\u3002\u4e09\u74b0\u6297\u6182\u9b31\u85e5\u7684\u4f8b\u5b50\u6709Amitriptyline\u3001Desipramine\u3001Imipramine\u548cNortriptyline\u3002\u9664\u4e86\u5f71\u97ff\u814e\u4e0a\u817a\u7d20\u548c\u591a\u5df4\u80fa\u7684\u795e\u7d93\u50b3\u905e\u5916\uff0c\u9019\u985e\u85e5\u7269\u5177\u6297\u81bd\u9e7c\u4f5c\u7528\uff0c\u80fd\u7de9\u89e3\u8179\u75db\u3001\u6e1b\u6162\u8178\u9053\u8815\u52d5\u3001\u5c0d\u8179\u7009\u4ea6\u6709\u4e9b\u5e6b\u808b\u3002\u4e09\u74b0\u6297\u6182\u9b31\u85e5\u7684\u5e38\u898b\u526f\u4f5c\u7528\u70ba\u4fbf\u79d8\u3001\u53e3\u4e7e\u3001\u8996\u529b\u6a21\u7cca\u3001\u56f0\u5026\u3001\u7761\u7720\u969c\u7919\uff0c\u90e8\u4efd\u4eba\u6216\u6703\u6709\u5fc3\u5f8b\u4e0d\u6b63\u3002\u70ba\u4e86\u6e1b\u5c11\u85e5\u7269\u6240\u5e36\u4f86\u7684\u526f\u4f5c\u7528\uff0c\u4e00\u958b\u59cb\u61c9\u4f7f\u7528\u4f4e\u5291\u91cf\uff0c\u5982\u6709\u9700\u8981\u53ef\u4ee5\u6162\u6162\u589e\u52a0\u5291\u91cf\u3002<\/p>\n<p>&nbsp;<\/p>\n<table>\n<tbody>\n<tr>\n<td width=\"212\"><strong>\u53e3\u670d\u85e5\u7269<\/strong><\/td>\n<td width=\"317\"><strong>\u6cd5\u4f8b\u92b7\u552e\u76e3\u7ba1<\/strong><\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\" width=\"529\"><strong>\u89e3\u75d9\u85e5\uff08Antispasmodics\uff09<\/strong><\/td>\n<\/tr>\n<tr>\n<td width=\"212\">Alverine<\/td>\n<td width=\"317\">(A)<\/td>\n<\/tr>\n<tr>\n<td width=\"212\">\u8584\u8377\u7cbe\u6cb9\uff08Peppermint oil\uff09<\/td>\n<td width=\"317\">(A)<\/td>\n<\/tr>\n<tr>\n<td width=\"212\">Hyoscine butylbromide<\/td>\n<td width=\"317\">(B)<\/td>\n<\/tr>\n<tr>\n<td width=\"212\">Otilonium<\/td>\n<td width=\"317\">(B)<\/td>\n<\/tr>\n<tr>\n<td width=\"212\">Trimebutine<\/td>\n<td width=\"317\">(B)<\/td>\n<\/tr>\n<tr>\n<td width=\"212\">Mebeverine<\/td>\n<td width=\"317\">(C)<\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\" width=\"529\"><strong>\u4e09\u74b0\u6297\u6182\u9b31\u5291\uff08Tricyclic antidepressants, TCA\uff09<\/strong><\/td>\n<\/tr>\n<tr>\n<td width=\"212\">\/<\/td>\n<td width=\"317\">\u5168\u90e8\u5747\u5c6c (C)<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>(A) = \u7121\u9808\u7d93\u85e5\u5291\u5e2b\u6216\u91ab\u751f\u8655\u65b9\u914d\u767c<\/p>\n<p>(B) = \u76e3\u7763\u552e\u8ce3\u85e5\u7269\uff0c\u9808\u5728\u85e5\u623f\u7d93\u85e5\u5291\u5e2b\u8cfc\u8cb7\u6216\u7531\u91ab\u751f\u8655\u65b9<\/p>\n<p>(C) = \u91ab\u751f\u8655\u65b9\u85e5\u7269<\/p>\n<p>&nbsp;<\/p>\n<h4>\u8179\u7009\u85e5\u7269\u6cbb\u7642<\/h4>\n<p><em>\u6cbb\u7642\u6307\u5f15<\/em><\/p>\n<p>\u7b2c\u4e00\u7dda\u85e5\u7269\uff1a\u6297\u8178\u8815\u52d5\u85e5\u7269\uff08Antimotility agent\uff09<\/p>\n<p>\u7b2c\u4e8c\u7dda\u85e5\u7269\uff1a\u6297\u751f\u7d20\uff08Antibiotics\uff09<\/p>\n<p>&nbsp;<\/p>\n<p><em>\u6297\u8178\u8815\u52d5\u85e5<\/em><em>\u7269<\/em><\/p>\n<p>\u6d1b\u54cc\u4e01\u80fa\uff08Loperamide\uff09\u548c\u5730\u82ac\u8afe\u916f-\u963f\u6258\u54c1\uff08Diphenoxylate-Atropine sulphate\uff09\u5c6c\u6297\u8178\u8815\u52d5\u85e5\u7269\uff0c\u901a\u904e\u6fc0\u6d3b\u8178\u9053\u7684\u9d09\u7247\u53d7\u9ad4\uff08Opioid receptor\uff09\uff0c\u6291\u5236\u8178\u9053\u7684\u8815\u52d5\uff0c\u5f9e\u800c\u7de9\u89e3\u8179\u7009\u3002\u9019\u4e9b\u85e5\u7269\u53ef\u80fd\u6703\u5f15\u81f4\u4fbf\u79d8\u3001\u5641\u5fc3\u3001\u53e3\u4e7e\u3001\u982d\u75db\u7b49\u526f\u4f5c\u7528\uff0cDiphenoxylate-Atropine sulphate \u66f4\u6709\u6a5f\u6703\u4ee4\u4eba\u611f\u5230\u6688\u7729\u3001\u75b2\u5026\u3001\u751a\u81f3\u795e\u667a\u4e0d\u6e05\u3002\u4e0d\u5efa\u8b70\u9023\u7e8c\u7528\u6297\u8178\u8815\u52d5\u85e5\u7269\u591a\u65bc\u5169\u5929\uff1b\u5982\u5169\u5929\u904e\u5f8c\u8179\u7009\u4ecd\u672a\u898b\u597d\u8f49\uff0c\u61c9\u7acb\u5373\u6c42\u91ab\u3002<\/p>\n<p>&nbsp;<\/p>\n<p><em>\u6297\u751f\u7d20<\/em><\/p>\n<p>\u5229\u798f\u6614\u660e\uff08Rifaximin\uff09\u662f\u4e00\u7a2e\u4e0d\u88ab\u4eba\u9ad4\u5438\u6536\u7684\u6297\u751f\u7d20\uff0c\u80fd\u6291\u5236\u7d30\u83cc\u751f\u9577\u53ca\u6bba\u6b7b\u7d30\u83cc\u3002\u60a3\u8005\u4e00\u65e6\u958b\u59cb\u6297\u751f\u7d20\u7642\u7a0b\uff0c\u5fc5\u670d\u7528\u5b8c\u7562\u6574\u500b\u7642\u7a0b\uff0c\u4ee5\u589e\u52a0\u6cbb\u7642\u6210\u6548\u53ca\u6e1b\u4f4e\u7522\u751f\u6297\u85e5\u6027\u7684\u6a5f\u6703\u3002\u670d\u7528\u5229\u798f\u6614\u660e\u53ef\u80fd\u6703\u51fa\u73fe\u7684\u526f\u4f5c\u7528\u5305\u62ec\u5641\u5fc3\u3001\u982d\u75db\u3001\u95dc\u7bc0\u75db\u7b49\u3002<\/p>\n<p>&nbsp;<\/p>\n<p><em>\u5176\u4ed6\u85e5\u7269\u53ca\u6cbb\u7642<\/em><\/p>\n<p>\u827e\u6c99\u5ea6\u6797\uff08Eluxadoline\uff09\u53ca\u963f\u6d1b\u53f8\u74ca\uff08Alosetron\uff09\u4e26\u672a\u65bc\u9999\u6e2f\u7d93\u885e\u751f\u7f72\u8a3b\u518a\u70ba\u85e5\u5291\u88fd\u54c1\u3002\u6709\u5225\u65bc\u4e0a\u8ff0\u85e5\u7269\u7684\u6a5f\u7406\uff0cEluxadoline \u548c Alosetron \u5206\u5225\u662f\u6df7\u5408\u9d09\u7247\u53d7\u9ad4\u4fc3\u6548\u5291\u548c5HT<sub>3<\/sub>\u62ee\u6297\u5291\uff0c\u80fd\u6e1b\u5c11\u8178\u9053\u5206\u6ccc\u53ca\u8815\u52d5\u3002\u5169\u7a2e\u85e5\u5747\u6709\u6a5f\u6703\u4ee4\u4eba\u4fbf\u79d8\u3002<\/p>\n<p>&nbsp;<\/p>\n<p>\u9664\u4e86\u897f\u85e5\u5916\uff0c\u8179\u7009\u60a3\u8005\u4ea6\u61c9\u9069\u6642\u670d\u7528\u96fb\u89e3\u8cea\u88dc\u5145\u5291\uff08Oral Rehydration Salt\uff09\uff0c\u4ee5\u88dc\u5145\u56e0\u8179\u7009\u800c\u6d41\u5931\u7684\u96fb\u89e3\u8cea\u548c\u6c34\u5206\u3002<\/p>\n<p>&nbsp;<\/p>\n<table>\n<tbody>\n<tr>\n<td width=\"250\"><strong>\u85e5\u7269<\/strong><\/td>\n<td width=\"331\"><strong>\u6cd5\u4f8b\u92b7\u552e\u76e3\u7ba1<\/strong><\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\" width=\"580\"><strong>\u6297\u8178\u8815\u52d5\u85e5\u7269\uff08Antimotility agent\uff09<\/strong><\/td>\n<\/tr>\n<tr>\n<td width=\"250\">Loperamide<\/td>\n<td width=\"331\">(A) \u7121\u9808\u7d93\u85e5\u5291\u5e2b\u6216\u91ab\u751f\u8655\u65b9\u914d\u767c<\/td>\n<\/tr>\n<tr>\n<td width=\"250\">Diphenoxylate-Atropine sulphate<\/td>\n<td width=\"331\">(B) \u76e3\u7763\u552e\u8ce3\u85e5\u7269\uff0c\u9808\u5728\u85e5\u623f\u7d93\u85e5\u5291\u5e2b\u8cfc\u8cb7\u6216\u7531\u91ab\u751f\u8655\u65b9<\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\" width=\"580\"><strong>\u6297\u751f\u7d20\uff08Antibiotics\uff09<\/strong><\/td>\n<\/tr>\n<tr>\n<td width=\"250\">Rifaximin<\/td>\n<td width=\"331\">(C) \u91ab\u751f\u8655\u65b9\u85e5\u7269<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<h4>\u4fbf\u79d8\u85e5\u7269\u6cbb\u7642<\/h4>\n<p><em>\u6cbb\u7642\u6307\u5f15<\/em><\/p>\n<p>\u7b2c\u4e00\u7dda\u85e5\u7269\uff1a\u9ad8\u6ef2\u900f\u58d3\u6027\u7009\u85e5\uff08Osmotic laxative\uff09<\/p>\n<p>\u7b2c\u4e8c\u7dda\u85e5\u7269\uff1a\u8178\u9053\u5206\u6ccc\u4fc3\u9032\u5291\uff08Secretagogue\uff09<\/p>\n<p>&nbsp;<\/p>\n<p><em>\u9ad8\u6ef2\u900f\u58d3\u6027\u7009<\/em><em>\u85e5<\/em><\/p>\n<p>\u9ad8\u6ef2\u900f\u58d3\u6027\u7009\u85e5\u5982\u805a\u4e59\u4e8c\u9187\uff08Polyethylene glycol, PEG\uff09\u53ef\u4ee5\u589e\u52a0\u8178\u9053\u5167\u7684\u6c34\u5206\uff0c\u4ee4\u7cde\u4fbf\u66f4\u6fd5\u6f64\u548c\u67d4\u8edf\uff0c\u63d0\u5347\u8178\u9053\u8815\u52d5\u983b\u7387\u3002PEG\u7684\u5e38\u898b\u526f\u4f5c\u7528\u70ba\u8179\u8139\u3001\u8139\u6c23\u3001\u8179\u7009\u3001\u6d88\u5316\u4e0d\u826f\u7b49\uff0c\u76f8\u5c0d\u5176\u4ed6\u985e\u578b\u7684\u7009\u85e5\uff08\u5982\u8349\u9905\u5c6c\u523a\u6fc0\u6027\u7009\u85e5\uff09\u526f\u4f5c\u7528\u5b89\u5168\u6027\u8f03\u9ad8\uff0c\u9069\u7528\u65bc\u6cbb\u7642\u6162\u6027\u8179\u7009\u3002<\/p>\n<p>&nbsp;<\/p>\n<p><em>\u8178\u9053\u5206\u6ccc\u4fc3\u9032<\/em><em>\u5291<\/em><\/p>\n<p>\u5229\u90a3\u6d1b\u80bd\uff08Linaclotide\uff09\u53ef\u4ee5\u589e\u52a0\u6c2f\u96e2\u5b50\u548c\u78b3\u9178\u6c2b\u9209\u7684\u5206\u6ccc\uff0c\u6709\u52a9\u65bc\u589e\u52a0\u8178\u9053\u5185\u7684\u6c34\u5206\u3001\u52a0\u5feb\u7cde\u4fbf\u5728\u8178\u9053\u904b\u8f49\u7684\u6642\u9593\u3002\u66ff\u90a3\u5e15\u8afe\uff08Tenapanor\uff09\u53ef\u6291\u5236\u8178\u9053\u9209\u6c2b\u4ea4\u63db\u86cb\u767d3\uff08NHE3\uff09\uff0c\u5c0e\u81f4\u9209\u7684\u5438\u6536\u6e1b\u5c11\uff0c\u4ee4\u8178\u9053\u5167\u7684\u6c34\u5206\u542b\u91cf\u589e\u52a0\u3002\u8178\u9053\u5206\u6ccc\u4fc3\u9032\u5291\u7684\u5e38\u898b\u526f\u4f5c\u7528\u70ba\u8179\u7009\u548c\u8179\u8139\uff0c\u800c\u4e14\u4e0d\u9069\u7528\u65bc\u6a5f\u68b0\u6027\u8178\u963b\u585e\u60a3\u8005\u3002<\/p>\n<p>&nbsp;<\/p>\n<table>\n<tbody>\n<tr>\n<td width=\"174\"><strong>\u85e5\u7269<\/strong><\/td>\n<td width=\"355\"><strong>\u6cd5\u4f8b\u92b7\u552e\u76e3\u7ba1<\/strong><\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\" width=\"529\"><strong>\u9ad8\u6ef2\u900f\u58d3\u6027\u7009\u85e5\uff08Osmotic laxative\uff09<\/strong><\/td>\n<\/tr>\n<tr>\n<td width=\"174\">Polyethylene glycol<\/td>\n<td width=\"355\">(A) \u7121\u9808\u7d93\u85e5\u5291\u5e2b\u6216\u91ab\u751f\u8655\u65b9\u914d\u767c<\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\" width=\"529\"><strong>\u8178\u9053\u5206\u6ccc\u4fc3\u9032\u5291\uff08Secretagogue\uff09<\/strong><\/td>\n<\/tr>\n<tr>\n<td width=\"174\">Linaclotide<\/td>\n<td width=\"355\">(C) \u91ab\u751f\u8655\u65b9\u85e5\u7269<\/td>\n<\/tr>\n<tr>\n<td width=\"174\">Tenapanor<\/td>\n<td width=\"355\">(C) \u91ab\u751f\u8655\u65b9\u85e5\u7269<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<h4>\u4fdd\u5065\u54c1<\/h4>\n<p>&nbsp;<\/p>\n<p><em>\u81b3\u98df\u7e96<\/em><em>\u7dad<\/em><\/p>\n<p>\u81b3\u98df\u7e96\u7dad\u5c0d\u8178\u9053\u5206\u6ccc\u3001\u8815\u52d5\u548c\u5fae\u751f\u7269\u7fa4\u7686\u6709\u5f71\u97ff\uff0c\u53ef\u6539\u5584\u8178\u6613\u6fc0\u7d9c\u5408\u75c7\u6574\u9ad4\u75c7\u72c0\u3002\u6c34\u6eb6\u6027\u7e96\u7dad\u8207\u6c34\u6df7\u5408\u53ef\u5f62\u6210\u51dd\u81a0\u72c0\u7269\u8cea\uff0c\u6539\u5584\u7cde\u4fbf\u9ecf\u5ea6\u3002\u975e\u6c34\u6eb6\u6027\u7e96\u7dad\u5247\u53ef\u589e\u52a0\u7cde\u4fbf\u91cf\u3002\u6c34\u6eb6\u6027\u7e96\u7dad\u5982\u8eca\u524d\u8349\uff08Plantago asiatica\uff09\u3001\u6d0b\u8eca\u524d\u5b50\uff08Psyllium\uff09\u3001\u963f\u62c9\u4f2f\u81a0\uff08Acacia gum\uff09\u548c\u5c0f\u9ea5\u7cca\u7cbe\uff08Wheat dextrin\uff09\u5747\u80fd\u7de9\u89e3\u8178\u6613\u6fc0\u7d9c\u5408\u75c7\u75c7\u72c0\u3002\u975e\u6c34\u6eb6\u6027\u7e96\u7dad\u5982\u9ea9\u76ae\uff08Wheat bran\uff09\u975e\u4f46\u4e0d\u80fd\u986f\u8457\u6539\u5584\u8178\u6613\u6fc0\u7d9c\u5408\u75c7\u75c7\u72c0\uff0c\u53cd\u800c\u6709\u6a5f\u6703\u52a0\u5287\u8139\u6c23\u3001\u8179\u75db\u7b49\u75c7\u72c0\u3002\u5728\u591a\u9032\u98df\u81b3\u98df\u7e96\u7dad\u7684\u540c\u6642\uff0c\u9700\u8981\u591a\u88dc\u5145\u6c34\u5206\uff0c\u4ee5\u514d\u6e1b\u5c11\u8139\u6c23\u7b49\u4e0d\u9069\u3002<\/p>\n<p>&nbsp;<\/p>\n<p><em>\u76ca\u751f\u83cc<\/em><\/p>\n<p>\u5118\u7ba1\u76ca\u751f\u83cc\u5e38\u7528\u65bc\u5404\u7a2e\u8178\u9053\u554f\u984c\uff0c\u4f46\u66ab\u6642\u672a\u6709\u6709\u529b\u7684\u7814\u7a76\u8b49\u660e\u76ca\u751f\u83cc\u91dd\u5c0d\u8178\u6613\u6fc0\u7d9c\u5408\u75c7\u60a3\u8005\u6709\u986f\u8457\u7684\u5e6b\u52a9\u3002\u76ca\u751f\u83cc\u6216\u53ef\u6574\u9ad4\u6e1b\u5c11\u8178\u6613\u6fc0\u7d9c\u5408\u75c7\u7684\u75c7\u72c0\uff0c\u4f46\u66ab\u6642\u672a\u767c\u73fe\u54ea\u4e00\u7a2e\uff08\u6216\u54ea\u4e00\u4e9b\uff09\u76ca\u751f\u83cc\u7a2e\u6709\u78ba\u5be6\u6210\u6548\u3002\u5982\u679c\u60f3\u5617\u8a66\u7528\u76ca\u751f\u83cc\u7522\u54c1\uff0c\u53ef\u4ee5\u8a2d\u7acb\u8a66\u7528\u671f\u4e09\u500b\u6708\uff0c\u5018\u82e5\u670d\u7528\u7522\u54c1\u4e09\u500b\u6708\u5f8c\u4ecd\u672a\u898b\u75c7\u72c0\u6709\u4efb\u4f55\u6539\u5584\uff0c\u4fbf\u53ef\u8003\u616e\u505c\u670d\u3002\uff08\u8a73\u7d30\u6709\u95dc\u76ca\u751f\u83cc\u7684\u8cc7\u8a0a\u548c\u6311\u9078\u7522\u54c1\u7684\u6ce8\u610f\u4e8b\u9805\u53ef\u700f\u89bd\u300c<a href=\"https:\/\/www.stdhc.org.hk\/express\/probiotics\/\">\u76ca\u751f\u83cc<\/a>\u300d\u4e00\u6587\uff09\u3002<\/p>\n<p>&nbsp;<\/p>\n<h4>\u7e3d\u7d50<\/h4>\n<ul>\n<li>\u85e5\u7269\u6cbb\u7642\u65e8\u5728\u7d13\u7de9\u75c7\u72c0\uff0c\u4e26\u63d0\u9ad8\u60a3\u8005\u7684\u751f\u6d3b\u8cea\u7d20<\/li>\n<li>\u8179\u75db\u7684\u7b2c\u4e00\u7dda\u85e5\u7269\u6cbb\u7642\u70ba\u89e3\u75d9\u85e5\uff0c\u75c7\u72c0\u56b4\u91cd\u8005\u53ef\u8003\u616e\u4f7f\u7528\u7cbe\u795e\u79d1\u85e5\u7269<\/li>\n<li>\u8179\u7009\u7684\u7b2c\u4e00\u7dda\u85e5\u7269\u6cbb\u7642\u70ba\u6297\u8178\u8815\u52d5\u85e5\u7269\uff0c\u5efa\u8b70\u540c\u6642\u88dc\u5145\u96fb\u89e3\u8cea\u548c\u6c34\u5206<\/li>\n<li>\u4fbf\u79d8\u7684\u7b2c\u4e00\u7dda\u85e5\u7269\u6cbb\u7642\u70ba\u9ad8\u6ef2\u900f\u58d3\u6027\u7009\u85e5\uff0c\u5b89\u5168\u6027\u76f8\u5c0d\u5176\u4ed6\u7009\u85e5\u70ba\u9ad8<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>\u5ef6\u4f38\u95b1\u8b80<\/p>\n<ol>\n<li>\u885e\u751f\u7f72 \u2013 \u85e5\u7269\u8fa6\u516c\u5ba4\u3002\u89e3\u75d9\u85e5\u548c\u6b62\u5614\u85e5\u30022013\u5e74\u3002\u53d6\u81ea <a href=\"https:\/\/www.drugoffice.gov.hk\/eps\/do\/tc\/consumer\/news_informations\/dm_13.html\">https:\/\/www.drugoffice.gov.hk\/eps\/do\/tc\/consumer\/news_informations\/dm_13.html<\/a>\u3002<\/li>\n<li>\u885e\u751f\u7f72 \u2013 \u85e5\u7269\u8fa6\u516c\u5ba4\u3002\u7009\u85e5\u548c\u6b62\u7009\u85e5\u30022018\u5e74\u3002\u53d6\u81ea <a href=\"https:\/\/www.drugoffice.gov.hk\/eps\/do\/tc\/consumer\/news_informations\/dm_37.html\">https:\/\/www.drugoffice.gov.hk\/eps\/do\/tc\/consumer\/news_informations\/dm_37.html<\/a>\u3002<\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>\u8cc7\u6599\u4f86\u6e90<\/p>\n<ol>\n<li>Vasant DH, et al. British Society of Gastroenterology guidelines on the management of irritable bowel syndrome. <em>Gut<\/em>. 2021;70(7):1214\u20131240.<\/li>\n<li>Lacy BE, et al. American College of Gastroenterology Clinical Guideline: Management of Irritable Bowel Syndrome. Am J Gastroenterol. 2021;116(1):17-44.<\/li>\n<li>Didari, T. Effectiveness of probiotics in irritable bowel syndrome: Updated systematic review with meta-analysis. <em>World J Gastroenterol<\/em>. 2015;21(10):3072-84.<\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>\u4f5c\u8005\ufe30\u8a3b\u518a\u85e5\u5291\u5e2b<\/p>\n<p>\u6700\u5f8c\u66f4\u65b0\u65e5\u671f\uff1a2025 \u5e74 4 \u6708<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u8178\u6613\u6fc0\u7d9c\u5408\u75c7\uff08Irritable Bowel Symptom\uff0cIBS\uff09\u53c8\u7a31\u8178\u8e81\u75c7\uff0c\u662f\u4e00\u7a2e\u529f\u80fd\u6027\u8178\u80c3\u969c\u7919\u75be\u75c5\uff0c\u901a\u5e38\u6d88\u5316\u9053\u4e2d\u4e26\u6c92\u6709\u4efb\u4f55\u53ef\u898b\u7684\u640d\u50b7\u6216\u75be\u75c5\u8de1\u8c61\u3002\u8178\u6613\u6fc0\u7d9c\u5408\u75c7\u76ee\u524d\u5c1a\u7121\u5b8c\u5168\u6839\u6cbb\u65b9\u6cd5\uff0c\u6539\u8b8a\u751f\u6d3b\u3001\u98f2\u98df\u7fd2\u6163\u548c\u85e5\u7269\u6cbb\u7642\u901a\u5e38\u80fd\u5e6b\u52a9\u63a7\u5236\u75c7\u72c0\u3002<\/p>\n<p>&nbsp;<\/p>\n<p>\u95dc\u65bc\u8178\u6613\u6fc0\u7d9c\u5408\u75c7\u7684\u75c5\u56e0\u53ca\u5404\u7a2e\u6cbb\u7642\u65b9\u6cd5\u5df2\u5728\u300c<a href=\"https:\/\/www.stdhc.org.hk\/express\/ibs-nondrug\/\">\u8178\u6613\u6fc0\u7d9c\u5408\u75c7\u8207\u975e\u85e5\u7269\u6cbb\u7642<\/a>\u300d\u4e00\u6587\u8ac7\u53ca\u3002\u672c\u6587\u96c6\u4e2d\u8b1b\u89e3\u9019\u75c5\u75c7\u7684\u85e5\u7269\u6cbb\u7642\uff0c\u5167\u5bb9\u7d9c\u5408\u82f1\u570b\u8178\u80c3\u75c5\u5354\u6703\uff08British Society of Gastroenterology\uff09\u53ca\u7f8e\u570b\u8178\u80c3\u79d1\u91ab\u5b78\u9662\uff08American College of Gastroenterology\uff09\u5206\u5225\u65bc2021\u5e74\u767c\u5e03\u8178\u6613\u6fc0\u7d9c\u5408\u75c7\u6307\u5f15\u7684\u5efa\u8b70\uff0c\u4e26\u8003\u616e\u5230\u5728\u9999\u6e2f\u672c\u5730\u7684\u7528\u85e5\u6a21\u5f0f\u3002\u4e0b\u5217\u300c\u4e00\u7dda\u300d\u53ca\u300c\u4e8c\u7dda\u300d\u85e5\u7269\u6307\uff0c\u7576\u4f7f\u7528\u300c\u4e00\u7dda\u300d\u85e5\u7269\u4ecd\u672a\u80fd\u6709\u6548\u7de9\u89e3\u75c7\u72c0\uff0c\u91ab\u751f\u6216\u6703\u8003\u616e\u4f7f\u7528\u300c\u4e8c\u7dda\u300d\u85e5\u7269\u3002\u8178\u6613\u6fc0\u7d9c\u5408\u75c7\u60a3\u8005\u5728\u4f7f\u7528\u4efb\u4f55\u85e5\u7269\u524d\u5b9c\u5148\u8aee\u8a62\u91ab\u751f\u6216\u85e5\u5291\u5e2b\uff0c\u4ee5\u514d\u8aa4\u5224\u75c5\u60c5\uff0c\u5ef6\u8aa4\u9069\u5207\u6cbb\u7642\u3002<\/p>\n<p>&nbsp;<\/p>\n<p>\u8179\u75db\u85e5\u7269\u6cbb\u7642<\/p>\n<p><em>\u6cbb\u7642\u6307\u5f15<\/em><\/p>\n<p>\u7b2c\u4e00\u7dda\u85e5\u7269\uff1a\u89e3\u75d9\u85e5\uff08Antispasmodics\uff09<\/p>\n<p>\u7b2c\u4e8c\u7dda\u85e5\u7269\uff1a\u4e09\u74b0\u6297\u6182\u9b31\u5291\uff08Tricyclic antidepressants, TCA)<\/p>\n<p>&nbsp;<\/p>\n<p><em>\u89e3\u75d9\u85e5<\/em><\/p>\n<p>\u89e3\u75d9\u85e5\u5982Alverine\u3001Hyoscine butylbromide\u3001Mebeverine\u3001Otilonium\u3001\u8584\u8377\u7cbe\u6cb9\uff08Peppermint oil\uff09\u548cTrimebutine \u53ef\u7528\u4f5c\u7de9\u89e3\u5e73\u6ed1\u808c\u75d9\u6523\u6240\u5f15\u8d77\u7684\u8179\u75db\u3002\u5728\u9999\u6e2f\uff0c\u5927\u90e8\u5206\u89e3\u75d9\u85e5\u53ea\u9700\u8981\u5728\u85e5\u5291\u5e2b\u76e3\u7763\u4e0b\u552e\u8ce3\u751a\u81f3\u7121\u9808\u7d93\u91ab\u8b77\u4eba\u54e1\u914d\u767c\u3002\u89e3\u75d9\u85e5\u5e38\u898b\u7684\u526f\u4f5c\u7528\u6709\u53e3\u4e7e\u3001\u8996\u529b\u6a21\u7cca\u3001\u982d\u6688\u3001\u56f0\u5026\u3001\u5c3f\u6eef\u7559\u3001\u4fbf\u79d8\u7b49\u3002<\/p>\n<p>&nbsp;<\/p>\n<p><em>\u4e09\u74b0\u6297\u6182\u9b31\u85e5<\/em><\/p>\n<p>\u7531\u65bc\u8178\u6613\u6fc0\u7d9c\u5408\u75c7\u7684\u8d77\u56e0\u8207\u300c\u8178\u8166\u4e92\u52d5\u969c\u7919\u300d\u6709\u95dc\uff0c\u91ab\u751f\u6709\u6a5f\u6703\u8655\u65b9\u7cbe\u795e\u79d1\u85e5\u7269\u7d66\u60a3\u8005\u4ee5\u7de9\u89e3\u6574\u9ad4\u8178\u6613\u6fc0\u7d9c\u5408\u75c7\u75c7\u72c0\uff0c\u800c\u4e09\u74b0\u6297\u6182\u9b31\u85e5\u6bd4\u8d77\u5e38\u898b\u8840\u6e05\u7d20\u985e\u6297\u6182\u9b31\u85e5\u5c0d\u65bc\u8178\u6613\u6fc0\u7d9c\u5408\u75c7\u7684\u6210\u6548\u8f03\u70ba\u986f\u8457\u3002\u4e09\u74b0\u6297\u6182\u9b31\u85e5\u7684\u4f8b\u5b50\u6709Amitriptyline\u3001Desipramine\u3001Imipramine\u548cNortriptyline\u3002\u9664\u4e86\u5f71\u97ff\u814e\u4e0a\u817a\u7d20\u548c\u591a\u5df4\u80fa\u7684\u795e\u7d93\u50b3\u905e\u5916\uff0c\u9019\u985e\u85e5\u7269\u5177\u6297\u81bd\u9e7c\u4f5c\u7528\uff0c\u80fd\u7de9\u89e3\u8179\u75db\u3001\u6e1b\u6162\u8178\u9053\u8815\u52d5\u3001\u5c0d\u8179\u7009\u4ea6\u6709\u4e9b\u5e6b\u808b\u3002\u4e09\u74b0\u6297\u6182\u9b31\u85e5\u7684\u5e38\u898b\u526f\u4f5c\u7528\u70ba\u4fbf\u79d8\u3001\u53e3\u4e7e\u3001\u8996\u529b\u6a21\u7cca\u3001\u56f0\u5026\u3001\u7761\u7720\u969c\u7919\uff0c\u90e8\u4efd\u4eba\u6216\u6703\u6709\u5fc3\u5f8b\u4e0d\u6b63\u3002\u70ba\u4e86\u6e1b\u5c11\u85e5\u7269\u6240\u5e36\u4f86\u7684\u526f\u4f5c\u7528\uff0c\u4e00\u958b\u59cb\u61c9\u4f7f\u7528\u4f4e\u5291\u91cf\uff0c\u5982\u6709\u9700\u8981\u53ef\u4ee5\u6162\u6162\u589e\u52a0\u5291\u91cf\u3002<\/p>\n<p>&nbsp;<\/p>\n<p><strong>\u53e3\u670d\u85e5\u7269<\/strong><br \/>\n<strong>\u6cd5\u4f8b\u92b7\u552e\u76e3\u7ba1<\/strong><\/p>\n<p><strong>\u89e3\u75d9\u85e5\uff08Antispasmodics\uff09<\/strong><\/p>\n<p>Alverine<br \/>\n(A)<\/p>\n<p>\u8584\u8377\u7cbe\u6cb9\uff08Peppermint oil\uff09<br \/>\n(A)<\/p>\n<p>Hyoscine butylbromide<br \/>\n(B)<\/p>\n<p>Otilonium<br \/>\n(B)<\/p>\n<p>Trimebutine<br \/>\n(B)<\/p>\n<p>Mebeverine<br \/>\n(C)<\/p>\n<p><strong>\u4e09\u74b0\u6297\u6182\u9b31\u5291\uff08Tricyclic antidepressants, TCA\uff09<\/strong><\/p>\n<p>\/<br \/>\n\u5168\u90e8\u5747\u5c6c (C)<\/p>\n<p>(A) = \u7121\u9808\u7d93\u85e5\u5291\u5e2b\u6216\u91ab\u751f\u8655\u65b9\u914d\u767c<\/p>\n<p>(B) = \u76e3\u7763\u552e\u8ce3\u85e5\u7269\uff0c\u9808\u5728\u85e5\u623f\u7d93\u85e5\u5291\u5e2b\u8cfc\u8cb7\u6216\u7531\u91ab\u751f\u8655\u65b9<\/p>\n<p>(C) = \u91ab\u751f\u8655\u65b9\u85e5\u7269<\/p>\n<p>&nbsp;<\/p>\n<p>\u8179\u7009\u85e5\u7269\u6cbb\u7642<\/p>\n<p><em>\u6cbb\u7642\u6307\u5f15<\/em><\/p>\n<p>\u7b2c\u4e00\u7dda\u85e5\u7269\uff1a\u6297\u8178\u8815\u52d5\u85e5\u7269\uff08Antimotility agent\uff09<\/p>\n<p>\u7b2c\u4e8c\u7dda\u85e5\u7269\uff1a\u6297\u751f\u7d20\uff08Antibiotics\uff09<\/p>\n<p>&nbsp;<\/p>\n<p><em>\u6297\u8178\u8815\u52d5\u85e5<\/em><em>\u7269<\/em><\/p>\n<p>\u6d1b\u54cc\u4e01\u80fa\uff08Loperamide\uff09\u548c\u5730\u82ac\u8afe\u916f-\u963f\u6258\u54c1\uff08Diphenoxylate-Atropine sulphate\uff09\u5c6c\u6297\u8178\u8815\u52d5\u85e5\u7269\uff0c\u901a\u904e\u6fc0\u6d3b\u8178\u9053\u7684\u9d09\u7247\u53d7\u9ad4\uff08Opioid receptor\uff09\uff0c\u6291\u5236\u8178\u9053\u7684\u8815\u52d5\uff0c\u5f9e\u800c\u7de9\u89e3\u8179\u7009\u3002\u9019\u4e9b\u85e5\u7269\u53ef\u80fd\u6703\u5f15\u81f4\u4fbf\u79d8\u3001\u5641\u5fc3\u3001\u53e3\u4e7e\u3001\u982d\u75db\u7b49\u526f\u4f5c\u7528\uff0cDiphenoxylate-Atropine sulphate \u66f4\u6709\u6a5f\u6703\u4ee4\u4eba\u611f\u5230\u6688\u7729\u3001\u75b2\u5026\u3001\u751a\u81f3\u795e\u667a\u4e0d\u6e05\u3002\u4e0d\u5efa\u8b70\u9023\u7e8c\u7528\u6297\u8178\u8815\u52d5\u85e5\u7269\u591a\u65bc\u5169\u5929\uff1b\u5982\u5169\u5929\u904e\u5f8c\u8179\u7009\u4ecd\u672a\u898b\u597d\u8f49\uff0c\u61c9\u7acb\u5373\u6c42\u91ab\u3002<\/p>\n<p>&nbsp;<\/p>\n<p><em>\u6297\u751f\u7d20<\/em><\/p>\n<p>\u5229\u798f\u6614\u660e\uff08Rifaximin\uff09\u662f\u4e00\u7a2e\u4e0d\u88ab\u4eba\u9ad4\u5438\u6536\u7684\u6297\u751f\u7d20\uff0c\u80fd\u6291\u5236\u7d30\u83cc\u751f\u9577\u53ca\u6bba\u6b7b\u7d30\u83cc\u3002\u60a3\u8005\u4e00\u65e6\u958b\u59cb\u6297\u751f\u7d20\u7642\u7a0b\uff0c\u5fc5\u670d\u7528\u5b8c\u7562\u6574\u500b\u7642\u7a0b\uff0c\u4ee5\u589e\u52a0\u6cbb\u7642\u6210\u6548\u53ca\u6e1b\u4f4e\u7522\u751f\u6297\u85e5\u6027\u7684\u6a5f\u6703\u3002\u670d\u7528\u5229\u798f\u6614\u660e\u53ef\u80fd\u6703\u51fa\u73fe\u7684\u526f\u4f5c\u7528\u5305\u62ec\u5641\u5fc3\u3001\u982d\u75db\u3001\u95dc\u7bc0\u75db\u7b49\u3002<\/p>\n<p>&nbsp;<\/p>\n<p><em>\u5176\u4ed6\u85e5\u7269\u53ca\u6cbb\u7642<\/em><\/p>\n<p>\u827e\u6c99\u5ea6\u6797\uff08Eluxadoline\uff09\u53ca\u963f\u6d1b\u53f8\u74ca\uff08Alosetron\uff09\u4e26\u672a\u65bc\u9999\u6e2f\u7d93\u885e\u751f\u7f72\u8a3b\u518a\u70ba\u85e5\u5291\u88fd\u54c1\u3002\u6709\u5225\u65bc\u4e0a\u8ff0\u85e5\u7269\u7684\u6a5f\u7406\uff0cEluxadoline \u548c Alosetron \u5206\u5225\u662f\u6df7\u5408\u9d09\u7247\u53d7\u9ad4\u4fc3\u6548\u5291\u548c5HT3\u62ee\u6297\u5291\uff0c\u80fd\u6e1b\u5c11\u8178\u9053\u5206\u6ccc\u53ca\u8815\u52d5\u3002\u5169\u7a2e\u85e5\u5747\u6709\u6a5f\u6703\u4ee4\u4eba\u4fbf\u79d8\u3002<\/p>\n<p>&nbsp;<\/p>\n<p>\u9664\u4e86\u897f\u85e5\u5916\uff0c\u8179\u7009\u60a3\u8005\u4ea6\u61c9\u9069\u6642\u670d\u7528\u96fb\u89e3\u8cea\u88dc\u5145\u5291\uff08Oral Rehydration Salt\uff09\uff0c\u4ee5\u88dc\u5145\u56e0\u8179\u7009\u800c\u6d41\u5931\u7684\u96fb\u89e3\u8cea\u548c\u6c34\u5206\u3002<\/p>\n<p>&nbsp;<\/p>\n<p><strong>\u85e5\u7269<\/strong><br \/>\n<strong>\u6cd5\u4f8b\u92b7\u552e\u76e3\u7ba1<\/strong><\/p>\n<p><strong>\u6297\u8178\u8815\u52d5\u85e5\u7269\uff08Antimotility agent\uff09<\/strong><\/p>\n<p>Loperamide<br \/>\n(A) \u7121\u9808\u7d93\u85e5\u5291\u5e2b\u6216\u91ab\u751f\u8655\u65b9\u914d\u767c<\/p>\n<p>Diphenoxylate-Atropine sulphate<br \/>\n(B) \u76e3\u7763\u552e\u8ce3\u85e5\u7269\uff0c\u9808\u5728\u85e5\u623f\u7d93\u85e5\u5291\u5e2b\u8cfc\u8cb7\u6216\u7531\u91ab\u751f\u8655\u65b9<\/p>\n<p><strong>\u6297\u751f\u7d20\uff08Antibiotics\uff09<\/strong><\/p>\n<p>Rifaximin<br \/>\n(C) \u91ab\u751f\u8655\u65b9\u85e5\u7269<\/p>\n<p>&nbsp;<\/p>\n<p>\u4fbf\u79d8\u85e5\u7269\u6cbb\u7642<\/p>\n<p><em>\u6cbb\u7642\u6307\u5f15<\/em><\/p>\n<p>\u7b2c\u4e00\u7dda\u85e5\u7269\uff1a\u9ad8\u6ef2\u900f\u58d3\u6027\u7009\u85e5\uff08Osmotic laxative\uff09<\/p>\n<p>\u7b2c\u4e8c\u7dda\u85e5\u7269\uff1a\u8178\u9053\u5206\u6ccc\u4fc3\u9032\u5291\uff08Secretagogue\uff09<\/p>\n<p>&nbsp;<\/p>\n<p><em>\u9ad8\u6ef2\u900f\u58d3\u6027\u7009<\/em><em>\u85e5<\/em><\/p>\n<p>\u9ad8\u6ef2\u900f\u58d3\u6027\u7009\u85e5\u5982\u805a\u4e59\u4e8c\u9187\uff08Polyethylene glycol, PEG\uff09\u53ef\u4ee5\u589e\u52a0\u8178\u9053\u5167\u7684\u6c34\u5206\uff0c\u4ee4\u7cde\u4fbf\u66f4\u6fd5\u6f64\u548c\u67d4\u8edf\uff0c\u63d0\u5347\u8178\u9053\u8815\u52d5\u983b\u7387\u3002PEG\u7684\u5e38\u898b\u526f\u4f5c\u7528\u70ba\u8179\u8139\u3001\u8139\u6c23\u3001\u8179\u7009\u3001\u6d88\u5316\u4e0d\u826f\u7b49\uff0c\u76f8\u5c0d\u5176\u4ed6\u985e\u578b\u7684\u7009\u85e5\uff08\u5982\u8349\u9905\u5c6c\u523a\u6fc0\u6027\u7009\u85e5\uff09\u526f\u4f5c\u7528\u5b89\u5168\u6027\u8f03\u9ad8\uff0c\u9069\u7528\u65bc\u6cbb\u7642\u6162\u6027\u8179\u7009\u3002<\/p>\n<p>&nbsp;<\/p>\n<p><em>\u8178\u9053\u5206\u6ccc\u4fc3\u9032<\/em><em>\u5291<\/em><\/p>\n<p>\u5229\u90a3\u6d1b\u80bd\uff08Linaclotide\uff09\u53ef\u4ee5\u589e\u52a0\u6c2f\u96e2\u5b50\u548c\u78b3\u9178\u6c2b\u9209\u7684\u5206\u6ccc\uff0c\u6709\u52a9\u65bc\u589e\u52a0\u8178\u9053\u5185\u7684\u6c34\u5206\u3001\u52a0\u5feb\u7cde\u4fbf\u5728\u8178\u9053\u904b\u8f49\u7684\u6642\u9593\u3002\u66ff\u90a3\u5e15\u8afe\uff08Tenapanor\uff09\u53ef\u6291\u5236\u8178\u9053\u9209\u6c2b\u4ea4\u63db\u86cb\u767d3\uff08NHE3\uff09\uff0c\u5c0e\u81f4\u9209\u7684\u5438\u6536\u6e1b\u5c11\uff0c\u4ee4\u8178\u9053\u5167\u7684\u6c34\u5206\u542b\u91cf\u589e\u52a0\u3002\u8178\u9053\u5206\u6ccc\u4fc3\u9032\u5291\u7684\u5e38\u898b\u526f\u4f5c\u7528\u70ba\u8179\u7009\u548c\u8179\u8139\uff0c\u800c\u4e14\u4e0d\u9069\u7528\u65bc\u6a5f\u68b0\u6027\u8178\u963b\u585e\u60a3\u8005\u3002<\/p>\n<p>&nbsp;<\/p>\n<p><strong>\u85e5\u7269<\/strong><br \/>\n<strong>\u6cd5\u4f8b\u92b7\u552e\u76e3\u7ba1<\/strong><\/p>\n<p><strong>\u9ad8\u6ef2\u900f\u58d3\u6027\u7009\u85e5\uff08Osmotic laxative\uff09<\/strong><\/p>\n<p>Polyethylene glycol<br \/>\n(A) \u7121\u9808\u7d93\u85e5\u5291\u5e2b\u6216\u91ab\u751f\u8655\u65b9\u914d\u767c<\/p>\n<p><strong>\u8178\u9053\u5206\u6ccc\u4fc3\u9032\u5291\uff08Secretagogue\uff09<\/strong><\/p>\n<p>Linaclotide<br \/>\n(C) \u91ab\u751f\u8655\u65b9\u85e5\u7269<\/p>\n<p>Tenapanor<br \/>\n(C) \u91ab\u751f\u8655\u65b9\u85e5\u7269<\/p>\n<p>&nbsp;<\/p>\n<p>\u4fdd\u5065\u54c1<\/p>\n<p>&nbsp;<\/p>\n<p><em>\u81b3\u98df\u7e96<\/em><em>\u7dad<\/em><\/p>\n<p>\u81b3\u98df\u7e96\u7dad\u5c0d\u8178\u9053\u5206\u6ccc\u3001\u8815\u52d5\u548c\u5fae\u751f\u7269\u7fa4\u7686\u6709\u5f71\u97ff\uff0c\u53ef\u6539\u5584\u8178\u6613\u6fc0\u7d9c\u5408\u75c7\u6574\u9ad4\u75c7\u72c0\u3002\u6c34\u6eb6\u6027\u7e96\u7dad\u8207\u6c34\u6df7\u5408\u53ef\u5f62\u6210\u51dd\u81a0\u72c0\u7269\u8cea\uff0c\u6539\u5584\u7cde\u4fbf\u9ecf\u5ea6\u3002\u975e\u6c34\u6eb6\u6027\u7e96\u7dad\u5247\u53ef\u589e\u52a0\u7cde\u4fbf\u91cf\u3002\u6c34\u6eb6\u6027\u7e96\u7dad\u5982\u8eca\u524d\u8349\uff08Plantago asiatica\uff09\u3001\u6d0b\u8eca\u524d\u5b50\uff08Psyllium\uff09\u3001\u963f\u62c9\u4f2f\u81a0\uff08Acacia gum\uff09\u548c\u5c0f\u9ea5\u7cca\u7cbe\uff08Wheat dextrin\uff09\u5747\u80fd\u7de9\u89e3\u8178\u6613\u6fc0\u7d9c\u5408\u75c7\u75c7\u72c0\u3002\u975e\u6c34\u6eb6\u6027\u7e96\u7dad\u5982\u9ea9\u76ae\uff08Wheat bran\uff09\u975e\u4f46\u4e0d\u80fd\u986f\u8457\u6539\u5584\u8178\u6613\u6fc0\u7d9c\u5408\u75c7\u75c7\u72c0\uff0c\u53cd\u800c\u6709\u6a5f\u6703\u52a0\u5287\u8139\u6c23\u3001\u8179\u75db\u7b49\u75c7\u72c0\u3002\u5728\u591a\u9032\u98df\u81b3\u98df\u7e96\u7dad\u7684\u540c\u6642\uff0c\u9700\u8981\u591a\u88dc\u5145\u6c34\u5206\uff0c\u4ee5\u514d\u6e1b\u5c11\u8139\u6c23\u7b49\u4e0d\u9069\u3002<\/p>\n<p>&nbsp;<\/p>\n<p><em>\u76ca\u751f\u83cc<\/em><\/p>\n<p>\u5118\u7ba1\u76ca\u751f\u83cc\u5e38\u7528\u65bc\u5404\u7a2e\u8178\u9053\u554f\u984c\uff0c\u4f46\u66ab\u6642\u672a\u6709\u6709\u529b\u7684\u7814\u7a76\u8b49\u660e\u76ca\u751f\u83cc\u91dd\u5c0d\u8178\u6613\u6fc0\u7d9c\u5408\u75c7\u60a3\u8005\u6709\u986f\u8457\u7684\u5e6b\u52a9\u3002\u76ca\u751f\u83cc\u6216\u53ef\u6574\u9ad4\u6e1b\u5c11\u8178\u6613\u6fc0\u7d9c\u5408\u75c7\u7684\u75c7\u72c0\uff0c\u4f46\u66ab\u6642\u672a\u767c\u73fe\u54ea\u4e00\u7a2e\uff08\u6216\u54ea\u4e00\u4e9b\uff09\u76ca\u751f\u83cc\u7a2e\u6709\u78ba\u5be6\u6210\u6548\u3002\u5982\u679c\u60f3\u5617\u8a66\u7528\u76ca\u751f\u83cc\u7522\u54c1\uff0c\u53ef\u4ee5\u8a2d\u7acb\u8a66\u7528\u671f\u4e09\u500b\u6708\uff0c\u5018\u82e5\u670d\u7528\u7522\u54c1\u4e09\u500b\u6708\u5f8c\u4ecd\u672a\u898b\u75c7\u72c0\u6709\u4efb\u4f55\u6539\u5584\uff0c\u4fbf\u53ef\u8003\u616e\u505c\u670d\u3002\uff08\u8a73\u7d30\u6709\u95dc\u76ca\u751f\u83cc\u7684\u8cc7\u8a0a\u548c\u6311\u9078\u7522\u54c1\u7684\u6ce8\u610f\u4e8b\u9805\u53ef\u700f\u89bd\u300c<a href=\"https:\/\/www.stdhc.org.hk\/express\/probiotics\/\">\u76ca\u751f\u83cc<\/a>\u300d\u4e00\u6587\uff09\u3002<\/p>\n<p>&nbsp;<\/p>\n<p>\u7e3d\u7d50<\/p>\n<p>\u85e5\u7269\u6cbb\u7642\u65e8\u5728\u7d13\u7de9\u75c7\u72c0\uff0c\u4e26\u63d0\u9ad8\u60a3\u8005\u7684\u751f\u6d3b\u8cea\u7d20<br \/>\n\u8179\u75db\u7684\u7b2c\u4e00\u7dda\u85e5\u7269\u6cbb\u7642\u70ba\u89e3\u75d9\u85e5\uff0c\u75c7\u72c0\u56b4\u91cd\u8005\u53ef\u8003\u616e\u4f7f\u7528\u7cbe\u795e\u79d1\u85e5\u7269<br \/>\n\u8179\u7009\u7684\u7b2c\u4e00\u7dda\u85e5\u7269\u6cbb\u7642\u70ba\u6297\u8178\u8815\u52d5\u85e5\u7269\uff0c\u5efa\u8b70\u540c\u6642\u88dc\u5145\u96fb\u89e3\u8cea\u548c\u6c34\u5206<br \/>\n\u4fbf\u79d8\u7684\u7b2c\u4e00\u7dda\u85e5\u7269\u6cbb\u7642\u70ba\u9ad8\u6ef2\u900f\u58d3\u6027\u7009\u85e5\uff0c\u5b89\u5168\u6027\u76f8\u5c0d\u5176\u4ed6\u7009\u85e5\u70ba\u9ad8<\/p>\n<p>&nbsp;<\/p>\n<p>\u5ef6\u4f38\u95b1\u8b80<\/p>\n<p>\u885e\u751f\u7f72 \u2013 [&#8230;]<\/p>\n","protected":false},"author":3341,"featured_media":10382,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[38,39,92],"tags":[],"acf":[],"_links":{"self":[{"href":"https:\/\/www.stdhc.org.hk\/express\/wp-json\/wp\/v2\/posts\/10395"}],"collection":[{"href":"https:\/\/www.stdhc.org.hk\/express\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.stdhc.org.hk\/express\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.stdhc.org.hk\/express\/wp-json\/wp\/v2\/users\/3341"}],"replies":[{"embeddable":true,"href":"https:\/\/www.stdhc.org.hk\/express\/wp-json\/wp\/v2\/comments?post=10395"}],"version-history":[{"count":5,"href":"https:\/\/www.stdhc.org.hk\/express\/wp-json\/wp\/v2\/posts\/10395\/revisions"}],"predecessor-version":[{"id":10402,"href":"https:\/\/www.stdhc.org.hk\/express\/wp-json\/wp\/v2\/posts\/10395\/revisions\/10402"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.stdhc.org.hk\/express\/wp-json\/wp\/v2\/media\/10382"}],"wp:attachment":[{"href":"https:\/\/www.stdhc.org.hk\/express\/wp-json\/wp\/v2\/media?parent=10395"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.stdhc.org.hk\/express\/wp-json\/wp\/v2\/categories?post=10395"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.stdhc.org.hk\/express\/wp-json\/wp\/v2\/tags?post=10395"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}