Taussig Cancer Center, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195, USA.
Cleve Clin J Med. 2011 Jul;78(7):449-64. doi: 10.3949/ccjm.78a.10054.
For a variety of reasons, cancer pain is often undertreated, adversely affecting the quality of life for patients and caregivers. To manage cancer pain effectively, physicians need to understand its pathogenesis, how to assess it, how to treat it, and, in particular, how to optimize opioid treatment. We discuss common questions faced by physicians in everyday practice.
由于种种原因,癌症疼痛常常得不到充分治疗,这对患者和护理人员的生活质量都产生了不利影响。为了有效地管理癌症疼痛,医生需要了解其发病机制、如何评估、如何治疗,特别是如何优化阿片类药物治疗。我们讨论了医生在日常实践中面临的常见问题。