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拉丁美洲癌症疼痛管理指南。

Latin-American guidelines for cancer pain management.

作者信息

Lara-Solares Argelia, Ahumada Olea Marisol, Basantes Pinos Amparito de Los Ángeles, Bistre Cohén Sara, Bonilla Sierra Patricia, Duarte Juárez Eva Rossina, Símon Escudero Omar A, Santacruz Escudero Juan Guillermo, Flores Cantisani José Alberto

机构信息

Department of Pain Medicine & Palliative Care, Instituto Nacional de Ciencias Médicas y Nutrición 'Salvador Zubirán', Mexico City, Mexico.

CR Alivio Dolor & CP INCANCER, Asociación Chilena para el Estudio del Dolor (ACHED), Asociación Latino Americana de Cuidados Paliativos (ALCP), Santiago de Chile, Chile.

出版信息

Pain Manag. 2017 Jul;7(4):287-298. doi: 10.2217/pmt-2017-0006. Epub 2017 Mar 13.

Abstract

Cancer is a major public health issue. Poor pain management has devastating consequences that seriously affect quality of life, diminish functionality and place a huge emotional burden on patients and their relatives. A group of Latin American opinion leaders were invited to participate in a meeting to discuss areas associated with cancer pain. The expert panel reviewed the latest literature to draft region-specific guidelines for effective pain management. The guidelines make recommendations on tailoring treatment to the specific type of pain and provide local physicians with the state-of-the art findings in the field. Management should be with pharmacological approaches (nonopioid, adjuvant and opioid analgesics, as well as oncologic therapies and interventional procedures) and nonpharmacological approaches.

摘要

癌症是一个重大的公共卫生问题。疼痛管理不善会产生毁灭性后果,严重影响生活质量,降低身体功能,并给患者及其亲属带来巨大的情感负担。一群拉丁美洲的意见领袖受邀参加一次会议,讨论与癌症疼痛相关的领域。专家小组查阅了最新文献,以起草针对该地区的有效疼痛管理指南。这些指南就根据特定疼痛类型调整治疗方案提出了建议,并向当地医生提供了该领域的最新研究成果。管理应采用药物治疗方法(非阿片类、辅助和阿片类镇痛药,以及肿瘤治疗和介入程序)和非药物治疗方法。

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