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由于麻醉性镇痛药治疗不当,致使对转移性肿瘤病人的疼痛不能控制,此现象在世界范围内较普遍。对此,世界卫生组织制订出一套逐级治疗方案。该方案采用口服常规给药,并逐步增加麻醉性药物治疗的强度。对疼痛的初始治疗,使用阿斯匹林及其他非甾体类抗炎免疫镇痛药。如不能控制,则加用一种弱的阿片类药物,如可待因。如仍不能控制,此时应给强阿片类药物,如吗啡。另外,采用常规给药,而不是视病人需要给予治疗(疼痛复发或加剧)。使麻醉性药物治疗剂量个体化,代谢迅速的病人给予高剂量后,能获得较好的镇痛效果。
Due to improper treatment of narcotic analgesics, resulting in metastatic cancer patients can not control the pain, this phenomenon is more common in the world. In this regard, WHO developed a set of progressive treatment programs. The program uses oral conventional administration, and gradually increase the intensity of narcotic drug treatment. Initial treatment for pain with aspirin and other non-steroidal anti-inflammatory immune analgesics. If not, add a weak opioid such as codeine. If you still can not control, strong opiates should be given at this time, such as morphine. In addition, routine administration is used instead of treatment (pain recurred or exacerbated) depending on the patient’s needs. To narcotic drug treatment dose individualized, rapidly metabolized patients given high doses, can get better analgesic effect.