Pharo Gregory H, Zhou Linqiu
Jefferson Medical College, Philadelphia, PA, USA.
J Am Osteopath Assoc. 2005 Nov;105(11 Suppl 5):S21-8.
Cancer remains the second most common cause of death in the United States despite advances in prevention, early detection, and newer treatment protocols. Pain continues to be the most feared complication of this diagnosis. Numerous studies have shown that when the World Health Organization treatment guidelines are followed, 90% of patients are pain-free. Although evidence is convincing that opioids are effective in the treatment of patients with cancer pain, reluctance to use them continues. Barriers to opioid use are multifactorial, but with education of healthcare providers and patients, treatment to manage pain will be more effective.
尽管在预防、早期检测和更新治疗方案方面取得了进展，但癌症仍然是美国第二大常见死因。疼痛仍然是这种诊断最令人恐惧的并发症。大量研究表明，遵循世界卫生组织的治疗指南时，90%的患者没有疼痛。尽管有令人信服的证据表明阿片类药物在治疗癌症疼痛患者方面有效，但人们对使用它们仍有所顾虑。使用阿片类药物的障碍是多方面的，但通过对医疗保健提供者和患者的教育，疼痛管理治疗将更有效。
