糖尿病性腹泻的治疗

• 作 者: 陈士葆 缪晓辉
• 机 构: 第二军医大学长征医院,第二军医大学长征医院
• 出 处: 实用内科杂志
• 发表日期: 1988年10期
• 关键词: 胰岛素依赖型 脂肪泻 神经系统并发症 植物神经病变 精尿病 肾上腺素能受体 胃肠运动功能 搪尿病 胰腺外分泌功能 吸收不良

1936年Pargen首先应用“糖尿病性腹泻”来解释某些与糖尿病有关的不明原因的腹泻。一般认为,伴有植物神经功能障碍的糖尿病患者约20%以上可发生腹泻。糖尿病性腹泻多发生于糖尿病未能严格控制的胰岛素依赖型患者,且常伴有神经系统并发症。其特征为顽固性、间断性腹泻,腹泻性质呈棕色水样,量较多,约1/3左右患者伴有脂肪泻。腹泻以夜间及清晨多见,故祖国医学称为“五更泻”。

In 1936 Pargen first applied “Diabetes Diarrhea” to explain some of the diabetes-related unexplained diarrhea. It is generally believed that more than 20% of diabetics with autonomic dysfunction may develop diarrhea. Diabetic diarrhea often occurs in insulin-dependent patients with poorly controlled diabetes and is often accompanied by neurologic complications. It is characterized by intractable, intermittent diarrhea, diarrhea was brown watery nature, amount more, about 1/3 of patients with steatorrhea. Diarrhea at night and early morning more common, so the motherland medicine called “five more diarrhea.”