Sato Yasuo
Dept. of Surgery, Saiseikai Wakakusa Hospital.
Gan To Kagaku Ryoho. 2007 Dec;34(13):2267-70.
Narcotic medications are the major drug therapy for cancer pain relief. A clinical use of fentanyl patches and oxycodone extended-release tablets has recently become available, which led to more choices of narcotics to be used medically. On the other hand, palliative care systems have not yet been fully established by medical institutions. The management of symptoms including pain, therefore, actually has to be performed by "care doctors" involved in cancer care. We conducted a survey on the medical use of narcotics for 500 people, including cancer patients and their family members. The result showed that the recognition rate of morphine used for cancer pain relief was 88%, while the recognition rate of narcotics for medical use other than morphine available for cancer pain relief was 20%. The most acceptable dosage form of narcotics was a skin patch, followed by an oral preparation. A response percentage that the dosage form of medical narcotics should be selectable by users was 93%.
麻醉性药物是缓解癌痛的主要药物疗法。芬太尼透皮贴剂和羟考酮缓释片的临床应用最近已可用,这使得用于医学的麻醉性药物有了更多选择。另一方面,医疗机构尚未完全建立姑息治疗体系。因此,包括疼痛在内的症状管理实际上必须由参与癌症护理的“护理医生”来进行。我们对500人进行了关于麻醉性药物医学用途的调查,其中包括癌症患者及其家属。结果显示,用于缓解癌痛的吗啡的认知率为88%,而可用于缓解癌痛的除吗啡之外的用于医学的麻醉性药物的认知率为20%。麻醉性药物最可接受的剂型是透皮贴剂,其次是口服制剂。93%的人认为医用麻醉性药物的剂型应由使用者选择。