Portenoy R K
Department of Neurology, Memorial Sloan-Kettering Cancer Center, New York, New York.
CA Cancer J Clin. 1988 Nov-Dec;38(6):327-52. doi: 10.3322/canjclin.38.6.327.
Cancer-related pain can be well controlled in most patients. With prolonged survival and cure now possible with many tumors, pain management becomes a compelling issue for the quality of the patient's remaining life. In advanced stages of disease, analgesia is an imperative for both the patient and family; it provides the patient the opportunity for a dignified and comfortable death and lifts from the family the added burden of anger and despair that is so often associated with uncontrolled pain in a loved one. Astute assessment, a systematic approach to pharmacologic treatment, and ongoing monitoring of therapy are the fundamental elements of successful management of pain in most patients.
大多数癌症相关疼痛患者的疼痛能够得到很好的控制。随着许多肿瘤患者生存期的延长以及治愈成为可能，疼痛管理对于患者剩余生命的质量而言成为一个迫切需要解决的问题。在疾病晚期，镇痛对于患者及其家人来说都是必不可少的；它能让患者有机会有尊严且舒适地离世，也能减轻家人常常因所爱之人疼痛无法控制而产生的愤怒和绝望等额外负担。敏锐的评估、系统的药物治疗方法以及对治疗的持续监测是大多数患者成功管理疼痛的基本要素。
