How to deal with difficult pain problems
How to deal with difficult pain problems
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DOI：
10.1093/annonc/mdi705
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发表时间：
2005-01-01
影响因子：
50.5
通讯作者：
Cherny, NI
中科院分区：
文献类型：
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作者：
Cherny, NI
对于晚期癌症患者，准备好应对疼痛和其他无法忍受的症状是医学和道德上的当务之急。根据世界卫生组织(WHO)的止痛阶梯进行的系统止痛治疗，与初级抗肿瘤治疗相结合，可为高达70%-90%的患者提供足够的缓解[1]。10%-30%的患者无法通过系统治疗获得足够的缓解，管理是具有挑战性的，它需要熟悉疼痛评估、生理学和一系列治疗策略。
In patients with advanced cancer, a readiness to address pain and other intolerable symptoms is a medical and moral imperative. Systemic analgesic therapy in accordance with the World Health Organization (WHO) analgesic ladder, combined with primary antitumor treatment, provides adequate relief for up to 70–90% of patients [1]. The management of the 10–30% of patients who do not achieve adequate relief with systemic therapy is challenging and it requires a familiarity with pain assessment, physiology and a range of therapeutic strategies.