Clinical Research, Dialectical Treatment Of Strong Opioid Induced Constipation

Objective: To analyze the strong opioids for cancer pain caused by constipation and Chinese Herbal Medicine Traditional Chinese medicine classification of the law of Chinese Herbal Medicine on the efficacy of cancer pain in patients with constipation and constipation with Symptoms.Materials and Methods: August 2008 -2009 years April 76 at the oncology hospital patients had severe pain in the application of strong opioids and cause constipation in Chinese patients with type and frequency of use of Chinese Herbal Medicine, and the efficacy and constipation abdominal pain, bloating, nausea,vomiting, eating less, poor appetite, body weight drowsiness, fatigue, palpitations, dizziness, shortness of breath and other symptoms associated with constipation, the efficacy analysis. Descriptive statistical analysis, using various data SPSS10.0 software on the number of cases and the percentageofstatistics and graphs to describe.Results:1. 76 cases of patients using the strong opioids cause constipation with cancer pain syndrome differentiation for analysis, heat Peru in 20 cases, 33 cases of yin deficiency Peru, Peru 14 cases of qi deficiency, yang deficiency secret in 9 cases.2.76 cases of use of strong opioids cause constipation in 73 patients with cancer pain patients using Chinese herbs Ginseng and other righting, 96.1% of the total population; 68 people to use diffusa, barbata and other cytotoxic medicine, 89.5% of the total number; have 63 people using rhubarb, magnolia bark and other functions under the class of laxative drugs, 82.9% of the total number; the use of bile Southern Star 58, 76.3% of the total population; there were 46 people to use hemp seed, Yuli Ren Run under such drugs, the total number of 60.5%; there were 38 people using the Gallus gallus, coke and other digestion drug xanthan, the total number of 50.0%.3. Dialectical treatment of opioid induced constipation strong results show that: markedly effective in 18 cases, 23.7%; effective in 36 cases, 47.4%; invalid in 22 cases, 28.9%, constipation total effective (CR + valid) was 71.1%.4. Dialectical treatment of strong opioid induced constipation with symptoms of results: The clinical cure 6, 7.9%; markedly effective in 17 cases, accounting for 22.4%; effective 34 cases, accounting for 44.7%; invalid in 19 cases, accounting for 25%. The total effective rate of constipation associated symptoms (clinical cure + + markedly effective) was 75%.Conclusion:1.76 cases of yin deficiency in patients with hot-style constipation and yin-less constipation.2.The treatment of Chinese medicine used for constipation caused by powerful opioid drugs the capture of class and class of medicine under Run.3. TCM syndrome differentiation and treatment can control or reduce the strong opioid induced constipation and the associated symptoms.