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目的观察番泻叶水比重定量治疗阿片类药物引起的便秘的效果。方法将使用阿片类药物治疗后并发便秘的肿瘤患者60例随机分为研究组和对照组各30例,研究组采用经水比重测量后的番泻叶剂量进行治疗,对照组行自行设计的番泻叶剂量治疗,评价2组治疗后便秘缓解情况及腹痛、腹泻情况。结果研究组便秘缓解总有效率及0~Ⅱ级腹泻发生率均高于对照组,腹痛发生率低于对照组,差异均有统计学意义(P<0.05)。结论番泻叶对放化疗患者行阿片药物止痛引起的便秘有效,通过水比重测量计算的番泻叶剂量(100ml)能实现疗效与安全性的最大化,可作为选用番泻叶预防和治疗化疗后便秘的参考剂量。
Objective To observe the effect of water volume of senna on constipation caused by opioids. Methods Sixty patients with concomitant constipation after opioid treatment were randomly divided into study group (30 cases) and control group (30 cases). The study group was treated with senna dose after water proportion measurement, and the control group Laxative dose treatment, evaluation of relief after constipation in 2 groups and abdominal pain, diarrhea. Results The total effective rate of constipation and the incidence of grade 0 ~ Ⅱ diarrhea in study group were higher than those in control group, and the incidence of abdominal pain was lower than that in control group (P <0.05). Conclusions Senna is effective in relieving constipation caused by opioid analgesia in patients receiving radiotherapy and chemotherapy. The senna dose (100 ml) calculated by water proportion measurement can achieve the maximum efficacy and safety, which can be used as the choice of senna prevention and treatment chemotherapy Post-constipation reference dose.