阿片类药物在癌症疼痛综合征中的疗效。

The efficacy of opioids in cancer pain syndromes.

作者信息

Fitzgibbon Dermot R, Galer Bradley S

机构信息

Department of Anesthesiology, Division of Neurology, University of Washington School of Medicine, Seattle, WA 98195 USA Department of Anesthesiology and Medicine, Division of Neurology, University of Washington School of Medicine, Seattle, WA 98195 USA.

出版信息

Pain. 1994 Sep;58(3):429-431. doi: 10.1016/0304-3959(94)90138-4.

DOI:10.1016/0304-3959(94)90138-4

PMID:7838593

Abstract

The treatment of pain in the patient with cancer necessitates careful assessment and definition of factors contributing to the pain complaint. We describe 3 cases of patients who had cancer, complained of pain, and were inappropriately treated with escalating doses of opioids. Opioid analgesic medications are commonly used in the management of pain in patients with cancer. Failure to respond to this treatment, the development of increasing pain, and the report of new side effects should prompt reassessment of opioid use.

摘要

癌症患者疼痛的治疗需要仔细评估并明确导致疼痛主诉的因素。我们描述了3例患有癌症、主诉疼痛且接受了剂量不断增加的阿片类药物不当治疗的患者。阿片类镇痛药物常用于癌症患者的疼痛管理。若对这种治疗无反应、疼痛加剧以及出现新的副作用报告，应促使重新评估阿片类药物的使用情况。