Hanks G W, Conno F, Cherny N, Hanna M, Kalso E, McQuay H J, Mercadante S, Meynadier J, Poulain P, Ripamonti C, Radbruch L, Casas J R, Sawe J, Twycross R G, Ventafridda V
Palliative Medicine, University of Bristol, Bristol Haematology and Oncology Centre, UK.
Br J Cancer. 2001 Mar 2;84(5):587-93. doi: 10.1054/bjoc.2001.1680.
An expert working group of the European Association for Palliative Care has revised and updated its guidelines on the use of morphine in the management of cancer pain. The revised recommendations presented here give guidance on the use of morphine and the alternative strong opioid analgesics which have been introduced in many parts of the world in recent years. Practical strategies for dealing with difficult situations are described presenting a consensus view where supporting evidence is lacking. The strength of the evidence on which each recommendation is based is indicated.
欧洲姑息治疗协会的一个专家工作组修订并更新了其关于吗啡在癌症疼痛管理中应用的指南。此处呈现的修订建议为吗啡以及近年来在世界许多地区引入的其他强效阿片类镇痛药的使用提供了指导。文中描述了应对困难情况的实用策略,并在缺乏支持证据的情况下给出了共识性观点。同时指出了每项建议所依据证据的力度。