Cipta Andre M, Pietras Christopher J, Weiss Timothy E, Strouse Thomas B
Department of Geriatrics and Palliative Medicine, Kaiser Permanente, West Los Angeles, California, USA.
Hospice and Palliative Medicine, Department of Medicine, David Geffen School of Medicine, University of California, Los Angeles, USA.
J Community Support Oncol. 2015 Oct;13(10):347-55. doi: 10.12788/jcso.0173.
Uncontrolled pain is one of the most feared and debilitating symptoms among cancer patients, and many suffer unnecessarily from suboptimal pain control. Cancer-related pain is often multidimensional and can affect all aspects of a patient's life. Hence, achieving adequate pain relief among cancer patients involves a proper assessment of psychosocial, spiritual, and physical pain issues, matched with an individualized treatment plan involving pharmacologic, nonpharmacologic, and procedural therapies when appropriate. Providing effective pain relief can help ease the overall burden of disease among oncology patients while helping them tolerate cancer-directed therapies and achieve the most optimal quality of life throughout all phases of the disease continuum. In this review, the authors will discuss the syndromes, assessment of, and treatment for cancer-related pain in the outpatient setting.
在癌症患者中，未得到控制的疼痛是最令人恐惧且使人虚弱的症状之一，许多患者因疼痛控制不佳而遭受不必要的痛苦。癌症相关疼痛往往是多维度的，会影响患者生活的方方面面。因此，要在癌症患者中实现充分的疼痛缓解，需要对心理社会、精神和身体疼痛问题进行恰当评估，并配合个性化治疗方案，在适当时采用药物、非药物和程序性治疗。提供有效的疼痛缓解有助于减轻肿瘤患者的整体疾病负担，同时帮助他们耐受针对癌症的治疗，并在疾病连续过程的各个阶段实现最佳生活质量。在本综述中，作者将讨论门诊环境下癌症相关疼痛的综合征、评估及治疗。
