Cutson T M
Department of Family Medicine, University of Michigan Medical Center, Ann Arbor, Michigan, USA.
Prim Care. 1998 Jun;25(2):407-21. doi: 10.1016/s0095-4543(05)70073-7.
Primary care clinicians treat patients with cancer and cancer pain. It is essential that physicians know how to effectively manage pain including assessment and pharmacologic and nonpharmacologic treatment modalities. Barriers to adequate assessment of pain must be recognized and overcome. Pharmacologic regimens are based on the World Health Organization's "ladder of analgesia," beginning with nonopioid medications and adding the opioid narcotics and adjuvant medications as necessary. Inclusion of nonpharmacologic treatments, physical and psychological are important for effective management.
基层医疗临床医生治疗癌症患者及癌痛患者。医生必须知道如何有效管理疼痛，包括评估以及药物和非药物治疗方式。必须认识并克服充分评估疼痛的障碍。药物治疗方案基于世界卫生组织的“镇痛阶梯”，从非阿片类药物开始，必要时添加阿片类麻醉药和辅助药物。纳入物理和心理等非药物治疗对有效管理至关重要。
