Lakdja F, Lobera A, Faucher A, Renaud Salis J L, Bécouarn Y, Ravaud A
Fondation Bergonié, Unité d'évaluation et contrôle de la douleur, Bordeaux, France.
Rev Laryngol Otol Rhinol (Bord). 1992;113(3):165-71.
Pain is frequent in patients presenting cervico-facial cancers. It can be acute or persistent, or present at the morbid entity known as chronic pain. The specific anatomical site and the often poor environment explain that the physical disability related to pain is increased by multiple psychosocial problems. Multidisciplinary care management by several actors is required and can be facilitated by a simple decision-making model. The schema presented can be used to prompt discussion and criticism. It needs constant improvement and extensions in order to reach a consensual attitude towards this king of suffering but also towards other situations of pain care management frequently encountered in cancer patients as well as those with other pathologies.
患有头颈面部癌症的患者经常会感到疼痛。疼痛可能是急性的或持续性的，或者表现为被称为慢性疼痛的病态情况。特定的解剖部位以及通常恶劣的环境表明，与疼痛相关的身体残疾因多种社会心理问题而加剧。需要多个行为主体进行多学科护理管理，而一个简单的决策模型可以对此提供便利。所呈现的模式可用于引发讨论和批评。它需要不断改进和扩展，以便在对待这种痛苦的同时，也能对癌症患者以及其他病症患者经常遇到的其他疼痛护理管理情况达成共识。
