Ottesen S, Manger A T, Lied V F
Anestesiavdelingen, Baerum sykehus.
Tidsskr Nor Laegeforen. 1992 May 30;112(14):1814-6.
Pain from cancer is said to be poorly relieved. To examine the relevance of this statement in our hospital we registered morphine consumption used for cancer pain relief from 1983 to 1990. The use of morphine increased 20-fold during this period, corresponding to a 12-fold increase per patient. A probable explanation of this development is that cancer pain now receives more attention and use of morphine has become more acceptable. New methods such as subcutaneous continuous morphine administration from portable pumps, and the introduction of slow-release morphine, have improved and simplified the treatment. Probably several Norwegian hospitals still lag behind in this respect. Consequently much pain remains unrelieved. We suggest that hospitals evaluate their pain relief programmes. If these are found inadequate, the service should be reinforced. This would probably lead to earlier rehabilitation and improved quality of life for the patient.
据说癌症疼痛很难得到缓解。为了检验这一说法在我们医院的真实性，我们记录了1983年至1990年期间用于缓解癌症疼痛的吗啡消耗量。在此期间，吗啡的使用量增加了20倍，相当于每位患者的使用量增加了12倍。这种增长的一个可能解释是，现在癌症疼痛受到了更多关注，吗啡的使用也变得更易被接受。诸如通过便携式泵进行皮下持续吗啡给药以及引入缓释吗啡等新方法，改善并简化了治疗。可能挪威的几家医院在这方面仍滞后。因此，许多疼痛仍未得到缓解。我们建议医院评估其疼痛缓解方案。如果发现这些方案不足，就应加强服务。这可能会使患者更早康复并提高生活质量。
