Lohri A, Herrmann R
Abteilung für Onkologie, Kantonsspital Basel.
Praxis (Bern 1994). 1996 Feb 27;85(9):261-7.
The treatment of cancer-associated pain in the terminally ill patient requires a vast knowledge of the available treatment modalities, but we also have to be aware of the fact that the continuous education of patients, nurses and doctors about the proper usage of these modalities is of paramount importance. The 3-step ladder proposed by the World Health Organization (WHO) remains the backbone of pain treatment. Adjuvant drugs may add to the analgesic effect, and medications to relief opioid side effects should routinely be prescribed. Local irradiation remains one of the mainstays in painful bone metastasis. Newer systemic modalities to treat skeletal pain such as the bisphosphonates or radionuclides may in the future change some of our current approaches. The treatment of pain in the terminally ill remains a continuous challenge.
晚期癌症患者癌痛的治疗需要对现有的治疗方式有广泛的了解，但我们也必须意识到，持续对患者、护士和医生进行关于这些方式正确使用的教育至关重要。世界卫生组织（WHO）提出的三阶梯疗法仍然是疼痛治疗的核心。辅助药物可能会增强镇痛效果，并且应常规开具缓解阿片类药物副作用的药物。局部放疗仍然是疼痛性骨转移的主要治疗手段之一。用于治疗骨痛的新型全身治疗方式，如双膦酸盐或放射性核素，未来可能会改变我们目前的一些治疗方法。晚期患者的疼痛治疗仍然是一项持续的挑战。
