PAIN CAUSES IN 200 PATIENTS REFERRED TO A MULTIDISCIPLINARY CANCER PAIN CLINIC
PAIN CAUSES IN 200 PATIENTS REFERRED TO A MULTIDISCIPLINARY CANCER PAIN CLINIC
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DOI：
10.1016/0304-3959(91)90163-r
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发表时间：
1991-04-01
期刊：
影响因子：
7.4
通讯作者：
HENRIKSEN, H
中科院分区：
文献类型：
--
作者：
BANNING, A;SJOGREN, P;HENRIKSEN, H
疼痛的原因进行了分析，在200例患者提到一个专门的癌症疼痛诊所。 在158名患者中发现了由肿瘤生长引起的疼痛，116名患者中发现了继发于癌症或其治疗的疼痛，33名患者中发现了与癌症无关的疼痛。 内脏受累（74例）、骨转移（68例）、软组织侵犯（56例）和神经/丛压迫或浸润（39例）是肿瘤生长引起疼痛的最常见原因。 肌源性疼痛（68例）是继发性疼痛的最常见原因。 患者表现出多种不同的疼痛原因组合，大多数至少有两个单独的原因。 由于癌症患者的疼痛治疗应根据其病因来确定，因此对每个患者的疼痛状况进行详细分析应成为合理治疗的基础。
Causes of pain were analysed in 200 patients referred to a specialized cancer pain clinic. Pain caused by tumour growth was found in 158 patients, pain secondary to cancer or its treatment in 116 patients and pain unrelated to cancer in 33 patients. Visceral involvement (74 cases), bone metastases (68 cases), soft tissue invasion (56 cases) and nerve/plexus pressure or infiltration (39 cases) were the most frequent causes of pain due to tumour growth. Myogenic pain (68 cases) was the most frequent cause of secondary pain. The patients presented with a multitude of different combinations of causes of pain, the majority having at least two separate causes. Since pain treatment in cancer patients should be determined by its aetiology, a detailed analysis of the pain condition in each patient should form the basis for a rational therapy.