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疼痛缓解作为姑息治疗的一个组成部分。

Pain Relief as an Integral Part of the Palliative Care.

作者信息

Sholjakova Marija, Durnev Vesna, Kartalov Andrijan, Kuzmanovska Biljana

机构信息

Faculty of Medicine, Ss Cyril and Methodius University of Skopje, Skopje, Republic of Macedonia.

University Clinic of TOARICUEM, Faculty of Medicine, Ss Cyril and Methodius University of Skopje, Skopje, Republic of Macedonia.

出版信息

Open Access Maced J Med Sci. 2018 Apr 6;6(4):739-741. doi: 10.3889/oamjms.2018.163. eCollection 2018 Apr 15.

DOI:10.3889/oamjms.2018.163
PMID:29731950
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5927513/
Abstract

BACKGROUND

Palliative therapy represents active care for patients whose illness has such nature that is not responding to the curative treatment. The palliative care aims to provide comfort and prevention from the suffering of the patients at the end of their life. Treatment of the pain presents an important integral part of palliative care.

AIM

This article aims to discuss and answer to some of the analgesic regimes and therapeutic dilemmas.

RESULTS

Pain control, in addition to the other treatments such as alleviation of psychological, sociological and spiritual problems, has a priority. The proper pain management can achieve a better quality of life for the patients and their families.

CONCLUSION

It can be concluded that because of the different origin of the pain, the use of analgesic therapy should be individualised and adapted to the real need of every person. Finally, only a good organisation and institutionalisation of the palliative care in one society could permit better prevention of suffering at the end of the life.

摘要

背景

姑息治疗是针对那些疾病性质无法对治愈性治疗产生反应的患者提供的积极护理。姑息治疗旨在为患者在生命末期提供舒适并防止其遭受痛苦。疼痛治疗是姑息治疗的一个重要组成部分。

目的

本文旨在讨论并回答一些镇痛方案和治疗难题。

结果

除了缓解心理、社会和精神问题等其他治疗外,疼痛控制具有优先地位。恰当的疼痛管理可为患者及其家人带来更好的生活质量。

结论

可以得出结论,由于疼痛的起源不同,镇痛治疗的使用应个体化,并适应每个人的实际需求。最后,只有一个社会中姑息治疗的良好组织和制度化才能更好地预防生命末期的痛苦。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63e4/5927513/cd8f5dc842ca/OAMJMS-6-739-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63e4/5927513/cd8f5dc842ca/OAMJMS-6-739-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63e4/5927513/cd8f5dc842ca/OAMJMS-6-739-g001.jpg

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Palliative Care: A Holistic Discipline.姑息治疗:一门整体学科。
Integr Cancer Ther. 2016 Mar;15(1):5-9. doi: 10.1177/1534735415617015. Epub 2015 Dec 1.
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Impact of morphine, fentanyl, oxycodone or codeine on patient consciousness, appetite and thirst when used to treat cancer pain.吗啡、芬太尼、羟考酮或可待因用于治疗癌痛时对患者意识、食欲和口渴的影响。
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Thrombotic Microangiopathy in the Setting of Colorectal Cancer: A Therapeutic Challenge with a Bad Prognosis.结直肠癌背景下的血栓性微血管病:一种预后不良的治疗挑战。
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