Rhodes D J, Grossman S A
Johns Hopkins Hospital, Baltimore, USA.
Md Med J. 1997 Mar;46(3):141-6.
The majority of patients with cancer experience significant pain during their illness. Most cancer pain can be readily managed with oral analgesic therapy. However, cancer pain is often under-treated because of poor communication between physicians and patients and inadequate training of physicians in pain management. A systematic pain-oriented history, pain intensity assessment physical exam, and diagnostic evaluation are needed to delineate the cause of pain. A therapeutic plan can then be tailored to the patient's needs, preferences, and severity of pain. This paper reviews the evaluation and treatment of cancer pain, with guidelines for initiating and monitoring non-opioid and opioid analgesic therapy.
大多数癌症患者在患病期间会经历严重疼痛。大多数癌症疼痛可以通过口服镇痛疗法轻松控制。然而，由于医生与患者之间沟通不畅以及医生在疼痛管理方面培训不足，癌症疼痛往往治疗不充分。需要进行系统的以疼痛为导向的病史询问、疼痛强度评估、体格检查和诊断评估，以明确疼痛原因。然后可以根据患者的需求、偏好和疼痛严重程度制定治疗方案。本文回顾了癌症疼痛的评估和治疗，并给出了启动和监测非阿片类和阿片类镇痛疗法的指南。
