Wiedemann B, Funke C
Klinik für Anästhesiologie, Intensiv- und Schmerztherapie, Städtisches Klinikum St. Georg Leipzig.
Z Arztl Fortbild Qualitatssich. 1998 Jan;92(1):23-8.
The incidence of cancer pain is about 90%. The first step in the treatment strategy is a causal therapy, including tumor mass reduction. An adequate pain management should start sometimes before the onset of a causal treatment. A good pain relief in cancer patients is mostly possible by the consequent application of the World Health Organisation 3 step analgesic ladder for the treatment of cancer. Pain management has become more comfortable since the development of new ways of applications e.g. transdermal fentanyl, water soluble morphine granulate and retarded drugs. With those new preparations, we got new possibilities and a bigger variety in the practical use of the WHO analgesic ladder. Basics for a good social integration of the patient are treatment of side effects, periodic consultations and a professional psychological support.
癌症疼痛的发生率约为90%。治疗策略的第一步是病因治疗,包括缩小肿瘤肿块。适当的疼痛管理有时应在病因治疗开始之前就启动。通过后续应用世界卫生组织癌症治疗三步镇痛阶梯疗法,癌症患者大多有可能实现良好的疼痛缓解。自从开发出如透皮芬太尼、水溶性吗啡颗粒和缓释药物等新的给药方式后,疼痛管理变得更加轻松。有了这些新制剂,我们在实际应用世界卫生组织镇痛阶梯疗法时有了新的可能性和更多样化的选择。对患者进行良好社会融入的基础是副作用治疗、定期会诊和专业的心理支持。