O'Neill W M
Dept of Palliative Medicine, Bristol Oncology Centre, England.
Middle East J Anaesthesiol. 1996 Feb;13(4):373-8.
An accurate assessment and where possible a precise diagnosis of the underlying mechanism in necessary for the effective management of pain in cancer. The majority of patients respond to oral analgesics, and the range of drugs required is not vast. Adjuvant analgesic drugs will be needed for the treatment of bone pain, visceral pain and neuropathic pain. For the remaining patients who present with difficult and occasionally intractable pain, a multidisciplinary approach using drug and non-drug measures will usually allow significant relief of symptoms.
对于癌症疼痛的有效管理,准确评估并在可能的情况下精确诊断潜在机制是必要的。大多数患者对口服镇痛药有反应,所需药物种类并不繁多。治疗骨痛、内脏痛和神经性疼痛需要辅助镇痛药。对于其余出现难以缓解甚至偶尔难以治疗的疼痛的患者,采用药物和非药物措施的多学科方法通常能显著缓解症状。