Hanks G W
Royal Marsden Hospital, London.
Cancer Surv. 1988;7(1):87-101.
Bone pain is the commonest type of pain in cancer patients. A systematic but simple approach to the use of analgesic and adjuvant drugs, in conjunction with more specific tumoricidal treatments, is usually successful in relieving bone pain. An opioid analgesic in adequate dose in conjunction with various co-analgesics is the cornerstone of symptomatic drug treatment. Incident (movement-related) pain may be difficult to control and may necessitate the use of physical aids or changes in lifestyle in addition to the usual pain-relieving measures.
骨痛是癌症患者最常见的疼痛类型。采用系统但简单的方法使用镇痛药和辅助药物,并结合更具针对性的肿瘤杀伤性治疗,通常能成功缓解骨痛。足量的阿片类镇痛药与各种辅助镇痛药联合使用是症状性药物治疗的基石。突发性(与活动相关)疼痛可能难以控制,除常规止痛措施外,可能还需要使用辅助器械或改变生活方式。