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肺癌的疼痛管理

Pain management in lung cancer.

作者信息

Nurwidya Fariz, Syahruddin Elisna, Yunus Faisal

机构信息

Department of Pulmonology and Respiratory Medicine, Universitas Indonesia Faculty of Medicine, Jakarta, Indonesia.

出版信息

Adv Respir Med. 2016;84(6):331-336. doi: 10.5603/ARM.2016.0043.

DOI:10.5603/ARM.2016.0043
PMID:28009033
Abstract

Lung cancer is the leading cause of cancer-related mortality worldwide. Not only burdened by the limited overall survival, lung cancer patient also suffer from various symptoms, such as pain, that implicated in the quality of life. Cancer pain is a complicated and transiently dynamic symptom that results from multiple mechanisms. This review will describe the pathophysiology of cancer pain and general approach in managing a patient with lung cancer pain. The use of opioids, nonsteroidal anti-inflammatory drugs (NSAIDs), and adjuvant analgesia, as part of the pharmacology therapy along with interventional strategy, will also be discussed.

摘要

肺癌是全球癌症相关死亡的主要原因。肺癌患者不仅面临总体生存期有限的负担,还遭受各种症状的折磨,如疼痛,这会影响生活质量。癌痛是一种复杂且动态变化的症状,由多种机制引起。本综述将描述癌痛的病理生理学以及管理肺癌疼痛患者的一般方法。还将讨论阿片类药物、非甾体抗炎药(NSAIDs)和辅助镇痛作为药物治疗一部分以及介入策略的应用。

相似文献

1
Pain management in lung cancer.肺癌的疼痛管理
Adv Respir Med. 2016;84(6):331-336. doi: 10.5603/ARM.2016.0043.
2
Opioid and adjuvant analgesics: compared and contrasted.阿片类和辅助镇痛药:比较与对比
Am J Hosp Palliat Care. 2011 Aug;28(5):378-83. doi: 10.1177/1049909111410298. Epub 2011 May 26.
3
[Cancer-related pain].[癌症相关疼痛]
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Opioids and the management of chronic severe pain in the elderly: consensus statement of an International Expert Panel with focus on the six clinically most often used World Health Organization Step III opioids (buprenorphine, fentanyl, hydromorphone, methadone, morphine, oxycodone).阿片类药物与老年人慢性重度疼痛的管理:一个国际专家小组的共识声明,重点关注世界卫生组织第三阶梯临床最常用的六种阿片类药物(丁丙诺啡、芬太尼、氢吗啡酮、美沙酮、吗啡、羟考酮)。
Pain Pract. 2008 Jul-Aug;8(4):287-313. doi: 10.1111/j.1533-2500.2008.00204.x. Epub 2008 May 23.
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Nonopioid drugs in the treatment of cancer pain.非阿片类药物在癌痛治疗中的应用。
J Clin Oncol. 2014 Jun 1;32(16):1677-90. doi: 10.1200/JCO.2013.52.8356. Epub 2014 May 5.
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Efficacy of nonsteroidal antiinflammatory drugs in postoperative pain.非甾体抗炎药在术后疼痛中的疗效。
Acta Anaesthesiol Belg. 1996;47(3):115-23.
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An update of comprehensive evidence-based guidelines for interventional techniques in chronic spinal pain. Part II: guidance and recommendations.慢性脊柱疼痛介入技术的综合循证指南更新。第二部分:指导和建议。
Pain Physician. 2013 Apr;16(2 Suppl):S49-283.
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The use of anti-inflammatory drugs in cancer pain.抗炎药物在癌症疼痛中的应用。
Cancer Treat Rev. 2001 Feb;27(1):51-61. doi: 10.1053/ctrv.2000.0192.
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[Adjuvant analgesics in cancer pain: clinical pharmacology and efficacy].[癌症疼痛的辅助镇痛药:临床药理学与疗效]
Nihon Rinsho. 2001 Sep;59(9):1806-11.
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Pain, fatigue, disturbed sleep and distress comprised a symptom cluster that related to quality of life and functional status of lung cancer surgery patients.疼痛、疲劳、睡眠障碍和苦恼构成了一个症状群,与肺癌手术患者的生活质量和功能状态有关。
J Clin Nurs. 2013 May;22(9-10):1281-90. doi: 10.1111/jocn.12228.

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2
Application effects of evidence-based nursing in pain nursing of advanced lung cancer.循证护理在晚期肺癌疼痛护理中的应用效果
Am J Transl Res. 2021 Aug 15;13(8):9479-9484. eCollection 2021.
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Relationship Between Nutritional Status and Quality of Life in Patients with Lung Cancer.
肺癌患者营养状况与生活质量的关系
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Breakthrough Pain in Patients with Lung Cancer. A Secondary Analysis of IOPS MS Study.肺癌患者的爆发性疼痛。IOPS MS研究的二次分析。
J Clin Med. 2020 May 4;9(5):1337. doi: 10.3390/jcm9051337.