三阶梯止痛对癌痛的疗效

TREATMENT RESULTS Of THREE-STEP ANALGESIC LADDER FOR CANCER PAIN PATIENTS

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.