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三阶梯止痛对癌痛的疗效 被引量:9

TREATMENT RESULTS Of THREE-STEP ANALGESIC LADDER FOR CANCER PAIN PATIENTS
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摘要 在我省首次应用三阶梯止痛治疗经病理证实的中晚期癌症疼痛病人67例,中、重疼痛占86.6%。三阶梯止痛药物依次为:消炎痛、可待因、吗啡。治疗总有效率100%。其中完全缓解56例(83.6%)部分缓解10例(14.9%),完全缓解+部分缓解率为98.5%。治疗后有53人生活质量较治疗前提高一个等级。本法副作用少,40例服用鸦片类药物者无1例成瘾。治疗有效的关键在于按阶梯用药及根据药代动力学按时给药,而不是按需给药。 There-step analgesic ladder was initially adopted in Hainan in1992, and 67 cases histopathologically proven mid-and advanced cancer patients. Moderateor serious pain occurred in 86.6%of the patients, were treated. The drugs of three-stepanalgesic ladder were: indocin, codein, morphine. Treament result: the overall effectiverate was l00 % (complete release of pain was observed in 56/67 cases, accounted for83.6%, and partial release l0 cass accounted for 14.9%, the sum was 98.5). Life qualitywas elevated for one grade in 53 patients. The side effects were mild, no one opium drugaddiction was found in 40 cases. The key of a successful analgesia is to give analgesicby ladder and on schedule, but not by need.
作者 刘华 杨作衡
出处 《癌症》 SCIE CAS CSCD 北大核心 1995年第3期197-199,共3页 Chinese Journal of Cancer
关键词 癌痛 三阶梯止痛 药物疗法 肿瘤 疗效 Cancer pain, Three-step analgesic ladder
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