Levy M H
Pain Management Center, Fox Chase Cancer Center, Philadelphia, PA 19111.
Semin Oncol. 1994 Dec;21(6):718-39.
The ideal goal of cancer pain management is the combination of comfort and function. For the vast majority of cancer pain patients, this balance can be achieved with individually titrated opioid analgesics and specifically prescribed coanalgesics. Integration of pain blocking procedures and cognitive behavioral therapies can further enhance the quality of life of selected patients. Comprehensive cancer pain management should be offered in concert with anticancer therapy and shares many of its constructs: prevention, early detection, specific therapy, combination chemotherapy, dose intensity, combined modalities, and psychosocial support. Unlike the control of cancer, the tools to effectively control cancer pain are readily available. Their use takes time, skill, and commitment and should be the very least that is provided to all cancer patients and their families.
癌症疼痛管理的理想目标是舒适度与功能的结合。对于绝大多数癌症疼痛患者而言，通过个体化滴定阿片类镇痛药和专门开具的辅助镇痛药，这种平衡是可以实现的。疼痛阻断程序和认知行为疗法的整合可以进一步提高特定患者的生活质量。全面的癌症疼痛管理应与抗癌治疗协同进行，并具有许多共同要素：预防、早期检测、特异性治疗、联合化疗、剂量强度、联合治疗方式以及社会心理支持。与癌症控制不同，有效控制癌症疼痛的工具很容易获得。其使用需要时间、技巧和投入，而且这应该是所有癌症患者及其家属最起码能得到的。
