Caimi Paolo, Cymet Tyler Childs
Family Medicine, Sinai Hospital of Baltimore and Department of Internal Medicine, Johns Hopkins School of Medicine, Baltimore, MD 21215, USA.
Compr Ther. 2006 Fall;32(3):176-81. doi: 10.1007/s12019-006-0009-2.
In people with cancer, pain often occurs from the malignancy, from procedures done to diagnose, stage, and treat the malignancy, and from the toxicities of therapy used in treating the cancer. Of people with cancer, 75% complain of some sort of pain. Determining whether the pain is from tissue damage or nerve structures will guide therapy. Assessment of the severity of the pain by location, oncological type, as well as psychosocial and environmental factors are necessary to understand and treat the pain that accompanies cancer. Medical interventions include non-opioid analgesics, opioids, and multiple different combinations of medications. Adjuvant medication like anticonvulsants and steroids are being used frequently to help people feel more comfortable.
在癌症患者中，疼痛通常源于恶性肿瘤本身、用于诊断、分期和治疗恶性肿瘤的操作，以及治疗癌症所用疗法的毒性。在癌症患者中，75%会抱怨有某种疼痛。确定疼痛是源于组织损伤还是神经结构将指导治疗。根据疼痛部位、肿瘤类型以及心理社会和环境因素评估疼痛的严重程度，对于理解和治疗癌症伴随的疼痛是必要的。医学干预措施包括非阿片类镇痛药、阿片类药物以及多种不同的药物组合。抗惊厥药和类固醇等辅助药物也经常被用于帮助患者感觉更舒适。
