Standardized treatment of chinese medicine decoction for cancer pain patients with opioid-induced constipation: A multi-center prospective randomized controlled study
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Standardized treatment of chinese medicine decoction for cancer pain patients with opioid-induced constipation: A multi-center prospective randomized controlled study
Standardized treatment of chinese medicine decoction for cancer pain patients with opioid-induced constipation: A multi-center prospective randomized controlled study
中国结合医学杂志(英文版)2014年20卷第7期 页码:496-502
Affiliations:
Department of Oncology, First Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou,China
Chen, Cm., Lin, Lz. & Zhang, Ex. Standardized treatment of chinese medicine decoction for cancer pain patients with opioid-induced constipation: A multi-center prospective randomized controlled study., Chin. J. Integr. Med. 20, 496–502 (2014). https://doi.org/10.1007/s11655-014-1864-9
Chang-ming Chen, Li-zhu Lin, En-xin Zhang. Standardized treatment of chinese medicine decoction for cancer pain patients with opioid-induced constipation: A multi-center prospective randomized controlled study[J]. Chinese Journal of Integrative Medicine, 2014,20(7):496-502.
Chen, Cm., Lin, Lz. & Zhang, Ex. Standardized treatment of chinese medicine decoction for cancer pain patients with opioid-induced constipation: A multi-center prospective randomized controlled study., Chin. J. Integr. Med. 20, 496–502 (2014). https://doi.org/10.1007/s11655-014-1864-9DOI:
Chang-ming Chen, Li-zhu Lin, En-xin Zhang. Standardized treatment of chinese medicine decoction for cancer pain patients with opioid-induced constipation: A multi-center prospective randomized controlled study[J]. Chinese Journal of Integrative Medicine, 2014,20(7):496-502. DOI: 10.1007/s11655-014-1864-9.
Standardized treatment of chinese medicine decoction for cancer pain patients with opioid-induced constipation: A multi-center prospective randomized controlled study
摘要
To observe the efficacy and the influence on quality of life (QOL) of syndrome differentiation treatment with Chinese medicine (CM) for opioid-induced constipation as well as the safety and influence on analgesic effect of opioids. Totally 406 cases enrolled from 53 collaborating medical centers were randomly assigned to a CM group and a control group. The CM group were treated with CM decoction based on syndrome differentiation
and the control group were treated with Phenolphthalein Tablet. Both groups were treated for 14 days. Cleveland constipation score (CCS)
numerical rating scale (NRS) of pain and Chinese version of European Organisation for Research and Treatment of Cancer
Quality of Life Questionnaire-C30 V3.0 (EORTC QLQ-C30 V3.0) were used to evaluate the efficacy
pain controlled and QOL status. The comparisons of CCS score reduction and QOL between the two groups after treatment suggested that the improvements of constipation and QOL in the CM group were better than that in the control group (P<0.05). The total efficiency of the CM group was better than the control group (93.5% vs. 86.4%
P<0.05). There was no significant difference in NRS scores between before and after treatment in both groups. There was no serious drug-related adverse event during the course of study. CM decoction could effectively treat opioid-induced constipation and improve patients’ QOL at the same time. It is safe and doesn’t affect the analgesic effect of opioids when treating constipation.
Abstract
To observe the efficacy and the influence on quality of life (QOL) of syndrome differentiation treatment with Chinese medicine (CM) for opioid-induced constipation as well as the safety and influence on analgesic effect of opioids. Totally 406 cases enrolled from 53 collaborating medical centers were randomly assigned to a CM group and a control group. The CM group were treated with CM decoction based on syndrome differentiation
and the control group were treated with Phenolphthalein Tablet. Both groups were treated for 14 days. Cleveland constipation score (CCS)
numerical rating scale (NRS) of pain and Chinese version of European Organisation for Research and Treatment of Cancer
Quality of Life Questionnaire-C30 V3.0 (EORTC QLQ-C30 V3.0) were used to evaluate the efficacy
pain controlled and QOL status. The comparisons of CCS score reduction and QOL between the two groups after treatment suggested that the improvements of constipation and QOL in the CM group were better than that in the control group (P<0.05). The total efficiency of the CM group was better than the control group (93.5% vs. 86.4%
P<0.05). There was no significant difference in NRS scores between before and after treatment in both groups. There was no serious drug-related adverse event during the course of study. CM decoction could effectively treat opioid-induced constipation and improve patients’ QOL at the same time. It is safe and doesn’t affect the analgesic effect of opioids when treating constipation.
关键词
Chinese MedicineopioidConstipationquality of life
Keywords
Chinese MedicineopioidConstipationquality of life
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