Pothmann R, Göbel U
Klin Padiatr. 1986 Nov-Dec;198(6):479-83. doi: 10.1055/s-2008-1033911.
Pain in pediatric oncology must be taken care of after years of neglection. On an average of 62% of tumours pain is of therapeutic relevance. In cancer relapse and final states incidence of pain increases up to 90%. Treatment of acute pain is not difficult, chronic pain however affords a special procedure: individual dosage with optimal suppression of pain whole day long, often combination of different methods, will give sufficient longtime results. Around 4/5 of pediatric cancer pain can be treated by pharmacological regime using central and antiphlogistic analgesics. Additional methods are local anesthesia, transcutaneous nerve stimulation, physiotherapy, psychotherapy and seldom neurosurgical intervention. The optimal treatment of cancer pain is part of a consequent oncological procedure. Some more effort is necessary to reach the most possible quality of life in these children.
儿科肿瘤学中的疼痛问题在被忽视多年后必须得到重视。平均而言，62%的肿瘤疼痛具有治疗相关性。在癌症复发和终末期，疼痛发生率高达90%。急性疼痛的治疗并不困难，但慢性疼痛需要特殊的治疗方法：全天进行个体化给药以最佳程度抑制疼痛，通常需要联合使用不同方法，才能取得足够的长期效果。约五分之四的儿科癌症疼痛可以通过使用中枢性和抗炎性镇痛药的药物治疗方案来处理。其他方法包括局部麻醉、经皮神经刺激、物理治疗、心理治疗，很少进行神经外科干预。癌症疼痛的最佳治疗是连贯的肿瘤治疗过程的一部分。要让这些孩子尽可能提高生活质量，还需要付出更多努力。
