Keseberg A
Z Gerontol Geriatr. 1995 Sep-Oct;28(5):328-34.
In this paper causes of pain and factors influencing sensitivity to pain in tumour patients are described. Changes and requests of outpatient therapy with non-opiates versus opiates are further analyzed. Results of pharmacological studies and clinical experiences show that most physicians have unjustified prejudice against prescription, effectiveness and side-effects of opiates. Some typical faults in outpatient therapy are a consequence of this kind of prejudice. An effective outpatient therapy using a phased plan in treatment with drugs could enable most tumour patients to become free of pain.
本文描述了肿瘤患者疼痛的原因以及影响疼痛敏感性的因素。进一步分析了非阿片类药物与阿片类药物门诊治疗的变化和要求。药理学研究结果和临床经验表明,大多数医生对阿片类药物的处方、有效性和副作用存在不合理的偏见。门诊治疗中的一些典型错误就是这种偏见的结果。采用分阶段药物治疗计划进行有效的门诊治疗,可以使大多数肿瘤患者摆脱疼痛。