White I D, Hoskin P J, Hanks G W, Bliss J M
Royal Marsden Hospital, London, UK.
Br J Cancer. 1991 Feb;63(2):271-4. doi: 10.1038/bjc.1991.63.
Prescribing practices for patients with cancer pain among populations of doctors in the United Kingdom have been assessed by means of a postal questionnaire. The results indicate that amongst the sample of doctors completing the questionnaire the basic principles of pain control in cancer appear to be understood. Regular oral morphine or diamorphine are most often chosen with the dose being determined mainly by the severity of pain with no arbitrary upper limit. Fears of addiction and respiratory depression, and a relatively long prognosis no longer appear to be major deterrents to the use of strong opioid analgesics. These data indicate considerable shifts in opinion in the doctors responding to the questionnaire and these results and their implications for current and future teaching about the management of cancer pain are discussed.
通过邮政问卷调查对英国医生群体中癌症疼痛患者的处方开具情况进行了评估。结果表明，在完成问卷的医生样本中，癌症疼痛控制的基本原则似乎得到了理解。最常选用的是常规口服吗啡或二醋吗啡，剂量主要由疼痛严重程度决定，没有任意上限。对成瘾和呼吸抑制的担忧以及相对较长的预后似乎不再是使用强效阿片类镇痛药的主要阻碍。这些数据表明，回复问卷的医生观点有了相当大的转变，本文将讨论这些结果及其对当前和未来癌症疼痛管理教学的影响。
