Can Fam Physician. 1984 Feb;30:429-36.
Despite the existence of effective analgesic drugs, many cancer patients live and die with ineffective pain control. The control of cancer pain is largely achievable with the appropriate use of available analgesics and co-analgesics. It requires attention to detail by a sympathetic physician who will treat the patient as a whole person. The support of knowledgeable nursing, social work, and chaplaincy staff in hospital and at home is essential to the on-going care of these patients. The major obstacles to the control of cancer pain are the physician's lack of detailed inquiry and attention, combined with the inappropriate and inadequate use of analgesics. The misinformation, prejudice and fear surrounding narcotic analgesics are largely unfounded in treating this group of patients. This article addresses issues of management and details a logical approach to analgesic use in patients with cancer pain.
尽管有有效的止痛药物，但许多癌症患者在没有有效止痛的情况下生存和死亡。适当使用现有的镇痛药和辅助镇痛药可在很大程度上控制癌症疼痛。这需要有同情心的医生关注细节，将患者作为一个整体来治疗。在医院和家中，有知识的护理、社会工作和牧师人员的支持对于这些患者的持续护理至关重要。控制癌症疼痛的主要障碍是医生缺乏详细的询问和关注，加上镇痛药的不当和不足使用。围绕麻醉性镇痛药的错误信息、偏见和恐惧在治疗这群患者时基本上是没有根据的。本文讨论了管理问题，并详细介绍了治疗癌症疼痛患者时使用镇痛药的合理方法。
