Medical Oncology Department, Hospital Virgen Macarena, Sevilla, Spain.
Clin Transl Oncol. 2012 Jul;14(7):499-504. doi: 10.1007/s12094-012-0831-1.
Cancer pain should be controlled in most patients, however this is not always achieved. These guidelines describe the classification, evaluation and treatment of chronic cancer pain in accordance with the WHO treatment strategy of pain stages: mild, moderate and severe. For treatment during the third stage, we cover titration and rotation of opioids, as well as their side effects and prevention. Also described is neuropathic pain and refractory pain, coadjuvant treatments and non pharmacological analgesic treatments. Finally, treatment of breakthrough pain is defined.
大多数癌症患者的疼痛都应得到控制，但这并不总能实现。本指南根据世界卫生组织（WHO）的疼痛阶段治疗策略，对慢性癌症疼痛进行了分类、评估和治疗：轻度、中度和重度。对于第三阶段的治疗，我们涵盖了阿片类药物的滴定和转换，以及它们的副作用和预防措施。还描述了神经病理性疼痛和难治性疼痛、辅助治疗和非药物性镇痛治疗。最后，定义了爆发性疼痛的治疗方法。
