Aruga Etsuko
Dept. of Palliative Care, International Medical Center of Japan.
Gan To Kagaku Ryoho. 2007 Dec;34 Suppl 2:183-8.
This paper reviews current cancer pain management guidelines, the challenge of managing pain across the care settings hospital to home. This also presents up-to-date information on the medications and strategies and the expansion of the World Health Organization's (WHO) analgesic ladder with several classes of drugs that are currently used to treat cancer pain: (1) non-steroidal anti-inflammatory drugs (NSAIDs), (2) opioid analgesics with opioid rotation and the control for side effect of opioid, (3) adjuvant analgesics including ketamine.
本文回顾了当前癌症疼痛管理指南,以及在从医院到家庭的整个护理环境中管理疼痛所面临的挑战。本文还介绍了有关药物和策略的最新信息,以及世界卫生组织(WHO)镇痛阶梯的扩展情况,其中包括目前用于治疗癌症疼痛的几类药物:(1)非甾体抗炎药(NSAIDs),(2)进行阿片类药物轮换并控制阿片类药物副作用的阿片类镇痛药,(3)包括氯胺酮在内的辅助镇痛药。