DuPen SL
Swedish Pain Consultation Service, Swedish Medical Center, 1221 Madison, Suite 410, Seattle, WA 98104, USA.
Curr Rev Pain. 1999;3(3):183-189. doi: 10.1007/s11916-999-0012-2.
Epidural analgesia is an important tool in the management of intractable cancer pain. Fundamental questions surrounding the use of epidural catheters in cancer pain management include: When is epidural analgesia appropriate?, Why is epidural analgesia beneficial?, and How does the clinician implement and manage epidural catheters in patients with cancer pain? This clinical review addresses these questions through a discussion of patient selection criteria, the advantages and disadvantages of the epidural route, the concept of functional analgesia, cost issues, device selection, treatment planning, and complications. The author concludes that achieving an optimal outcome with epidural techniques in a patient with cancer involves a negotiation between patient and provider.
硬膜外镇痛是治疗顽固性癌痛的一项重要手段。围绕在癌痛管理中使用硬膜外导管的基本问题包括：硬膜外镇痛何时适用？为什么硬膜外镇痛有益？临床医生如何在癌痛患者中实施和管理硬膜外导管？这篇临床综述通过讨论患者选择标准、硬膜外途径的优缺点、功能性镇痛的概念、成本问题、设备选择、治疗计划和并发症来探讨这些问题。作者得出结论，要在癌症患者中通过硬膜外技术取得最佳效果，需要患者与医疗服务提供者之间进行协商。
