Chronic Constipation Clinical Trial
Official title:
Comparison of Chinese Herbal Formula and Lactulose for Adults With Chronic Constipation-a Randomized ,Double-Blind, Controlled Trial
The purpose of the study is to compare the therapeutic efficacy, safety, cost-effectiveness and maintenance effect between Chinese herbal formula and lactulose on chronic constipation in long-term care.
Although many people regard regular defecation as important factor to maintain healthy,
constipation is still a common problem in general population. According to some surveys,
constipation affects approximately 50% to 73% of nursing home residents. Because the
symptoms cause serious impairment of life quality, laxatives are commonly prescribed for
people and over-prescribing of laxatives is also common. Despite the large sums spent on
laxatives, there have been few advances in laxative treatment in the last 50 years and there
have been minimal research addressing the problem. Therefore constipation was labeled as
"the neglected symptoms".
There is unsatisfactory effect by currently pharmacologic therapies and preventive
strategies for constipation. Contrarily, they had abundant clinical experiences and medical
records for constipation in traditional Chinese medicine. So we follow the worldly trend to
do the research of integrative Chinese medicine and Western medicine since WHO launched the
first global strategy on traditional and complementary/alternative medicine (TM/CAM) to
assist countries to create a stronger evidence base of the TM/CAM products and practices.
The study will be performed under randomized, double-blind, placebo controlled, parallel
design. The object of this study is the residents in nursing homes. After intake of Chinese
herb, improving constipation and care quality, decreasing the need of enema or digital
maneuver, minimizing the dosage of rescue laxatives and saving the medical expenditure will
be expected.
;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver), Primary Purpose: Treatment
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