Ashino Y, Muto J, Ooigawa K, Kanno A, Inoue H, Kudo S
Dept. of Surgery, Fukushima Rousai Hospital.
Gan To Kagaku Ryoho. 1994 Dec;21 Suppl 4:477-80; discussion 481.
From April 1987 to June 1994, 81 patients of terminally ill had been care at home. In these home care, 38 patients received pain control with morphine. In 29 patients, pain control had been started before home care but in 9 patients pain control had been started under home care. Routes of morphine administration were oral in 24 cases and rectal in 14 cases. In cases of oral routes, finally 2 cases converted to rectal routes and 2 cases converted to subcutaneous routes. Duration of treatment were from 2 days to 741 days (average 72 days). Dosage of morphine were 7.5 mg to 480 mg (average 116 mg). Two patients lived but 24 patients died at home and 12 patients died at hospital. We concluded that palliative care especially pain control with morphine was very important care for patients of terminally ill who wanted care at home and ultimately die at home. We had to make ourself master of method pain control with morphine.
1987年4月至1994年6月，81名晚期患者在家中接受护理。在这些家庭护理中，38名患者接受了吗啡镇痛治疗。其中，29名患者在家庭护理前就开始了疼痛控制，但有9名患者是在家庭护理期间开始疼痛控制的。吗啡给药途径为口服24例，直肠给药14例。口服给药的患者中，最终有2例转为直肠给药，2例转为皮下给药。治疗时间为2天至741天（平均72天）。吗啡剂量为7.5毫克至480毫克（平均116毫克）。2名患者存活，24名患者在家中死亡，12名患者在医院死亡。我们得出结论，姑息治疗尤其是用吗啡控制疼痛，对于希望在家中接受护理并最终在家中去世的晚期患者来说是非常重要的护理。我们必须掌握用吗啡控制疼痛的方法。
