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癌症患者疼痛的当前管理。

Current management of pain in patients with cancer.

作者信息

Grossman S A, Staats P S

机构信息

Johns Hopkins Oncology Center, Baltimore, Maryland.

出版信息

Oncology (Williston Park). 1994 Mar;8(3):93-107; discussion 107, 110, 115.

PMID:7912540
Abstract

Pain is one of the most common and feared symptoms associated with cancer. It occurs in 20% to 50% of patients with newly diagnosed malignancies, 33% of patients during the treatment of their disease, and in 75% to 90% of those with advanced cancer. Nearly three-quarters of all patients with cancer report moderate to severe pain at some time during their illness. The importance of this symptom and the availability of excellent analgesic therapies make it imperative that health care providers be skillful at evaluating and treating cancer pain. This article presents in detail state-of-the-art management of pain in patients with cancer.

摘要

疼痛是与癌症相关的最常见且令人恐惧的症状之一。在新诊断出恶性肿瘤的患者中,有20%至50%会出现疼痛;在疾病治疗期间,33%的患者会出现疼痛;而在晚期癌症患者中,这一比例为75%至90%。几乎四分之三的癌症患者在患病期间的某个时候会报告有中度至重度疼痛。这种症状的重要性以及优质镇痛疗法的可得性使得医疗保健提供者必须熟练掌握癌症疼痛的评估和治疗。本文详细介绍了癌症患者疼痛的最新管理方法。

相似文献

1
Current management of pain in patients with cancer.癌症患者疼痛的当前管理。
Oncology (Williston Park). 1994 Mar;8(3):93-107; discussion 107, 110, 115.
2
The treatment of cancer pain.癌症疼痛的治疗。
N Engl J Med. 1985 Jul 11;313(2):84-95. doi: 10.1056/NEJM198507113130205.
3
Advances in control of cancer pain.
Nurs Clin North Am. 1987 Sep;22(3):677-90.
4
Pain and symptom control in paediatric palliative care.儿童姑息治疗中的疼痛和症状控制
Cancer Surv. 1994;21:211-31.
5
Interventional approaches to pain management.疼痛管理的介入性方法。
Anesthesiol Clin. 2007 Dec;25(4):883-98, viii. doi: 10.1016/j.anclin.2007.07.012.
6
[Drug and non-drug tumor pain therapy in ENT medicine].
Laryngorhinootologie. 1991 Dec;70(12):683-5. doi: 10.1055/s-2007-998125.
7
[Pain therapy in gynecologic neoplasms].[妇科肿瘤的疼痛治疗]
Geburtshilfe Frauenheilkd. 1990 Feb;50(2):93-100. doi: 10.1055/s-2007-1026442.
8
Optimal pain control in elderly cancer patients.老年癌症患者的最佳疼痛控制
Geriatrics. 1987 May;42(5):33-6, 39-40, 44.
9
[Current strategies in the treatment of tumor pain].[肿瘤疼痛治疗的当前策略]
Med Klin (Munich). 1992 Apr 15;87(4):198-206.
10
Opioids and the management of chronic severe pain in the elderly: consensus statement of an International Expert Panel with focus on the six clinically most often used World Health Organization Step III opioids (buprenorphine, fentanyl, hydromorphone, methadone, morphine, oxycodone).阿片类药物与老年人慢性重度疼痛的管理:一个国际专家小组的共识声明,重点关注世界卫生组织第三阶梯临床最常用的六种阿片类药物(丁丙诺啡、芬太尼、氢吗啡酮、美沙酮、吗啡、羟考酮)。
Pain Pract. 2008 Jul-Aug;8(4):287-313. doi: 10.1111/j.1533-2500.2008.00204.x. Epub 2008 May 23.

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