Field G B, Parry J
Eur J Cancer Care (Engl). 1994 Jun;3(2):79-86. doi: 10.1111/j.1365-2354.1994.tb00018.x.
A practical framework for the management of pain control in palliative care of patients with advanced malignancies, using analgesics and co-analgesics is described. The analgesic ladder is used as a model for the logical progression of options for the day-to-day application of analgesics. Strong opioids and their side-effects are discussed. Indications for the most frequently applied co-analgesics are given, including the more commonly required psychotropic agents.
本文描述了一种针对晚期恶性肿瘤患者姑息治疗中疼痛控制管理的实用框架,该框架使用了镇痛药和辅助镇痛药。镇痛阶梯被用作镇痛药日常应用选项逻辑递进的模型。文中讨论了强效阿片类药物及其副作用。给出了最常用辅助镇痛药的适应证,包括更常需要的精神药物。