Shinjo Takuya, Okada Masakuni
Dept. of Palliative Care Unit, Shakaihoken Kobe Central Hospital.
Gan To Kagaku Ryoho. 2006 Apr;33(4):529-32.
Dyspnea is a common symptom in patients with advanced cancer. Systemic morphine administration has been reported as an effective pharmacological treatment to control dyspnea. However, there have been few reports on similar effects of alternative opioids except for morphine. To evaluate the effect of controlled-release oxycodone on the relief of dyspnea, we investigated three cases with opioid substitution from subcutaneous morphine to oral oxycodone. In all cases, both opioids provided equivalent effects for the palliation of cancer dyspnea with no significant adverse effects. Future studies in the appropriate clinical designs will be needed to confirm our findings.
呼吸困难是晚期癌症患者的常见症状。据报道,全身性使用吗啡是控制呼吸困难的一种有效药物治疗方法。然而,除吗啡外,关于其他阿片类药物类似效果的报道很少。为了评估缓释羟考酮缓解呼吸困难的效果,我们调查了3例从皮下注射吗啡改用口服羟考酮进行阿片类药物替代治疗的病例。在所有病例中,两种阿片类药物在缓解癌症呼吸困难方面效果相当,且无明显不良反应。需要通过适当的临床设计进行进一步研究以证实我们的发现。