Thapa Deepak, Rastogi V, Ahuja Vanita
Department of Anaesthesia and Intensive Care, Government Medical College and Hospital, Sector-32, Chandigarh, India.
J Anaesthesiol Clin Pharmacol. 2011 Apr;27(2):162-8. doi: 10.4103/0970-9185.81820.
Cancer pain is still one of the most feared entities in cancer and about 75% of these patients require treatment with opioids for severe pain.The cancer pain relief is difficult to manage in patients with episodic or incidental pain, neuropathic pain, substance abuse and with impaired cognitive or communication skills. This non-systematic review article aims to discuss reasons for under treatment, tools of pain assessment, cancer pain and anxiety and possibly carve new approaches for cancer pain management in future. The current status of World Health Organization analgesic ladder has also been reviewed. A thorough literature search was carried out from 1998 to 2010 for current status in cancer pain management in MEDLINE, WHO guidelines and published literature and relevant articles have been included.
癌痛仍是癌症患者最恐惧的问题之一，约75%的此类患者需要使用阿片类药物治疗重度疼痛。对于患有发作性或偶发性疼痛、神经性疼痛、药物滥用以及认知或沟通能力受损的患者，癌痛缓解很难处理。这篇非系统性综述文章旨在探讨治疗不足的原因、疼痛评估工具、癌痛与焦虑，可能还会为未来的癌痛管理开辟新方法。本文还回顾了世界卫生组织镇痛阶梯的现状。从1998年至2010年，在MEDLINE数据库中对癌痛管理的现状进行了全面的文献检索，纳入了世界卫生组织指南、已发表的文献及相关文章。
