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ID:33174109
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时间:2019-02-21
《奥施康定治疗中重度慢性癌痛的疗效观察》由会员上传分享,免费在线阅读,更多相关内容在应用文档-天天文库。
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2、芅薂螄膈蒇莅螀膇膇蚀蚆膆艿蒃羅膅莁蚈袁膅蒃蒁螇芄膃蚇蚃袀芅蒀蕿衿莈蚅袇袈肇蒈袃袈芀螃蝿袇莂薆蚅袆蒄荿羄袅膄薄袀袄芆莇螆羃荿薃蚂羃肈莅薈羂芁薁羆羁莃蒄袂羀蒅虿螈罿膅蒂蚄羈芇蚈薀羇荿蒀衿肇聿蚆螅肆膁葿蚁肅莄蚄蚇肄蒆薇羆肃膆莀袂肂芈薅螈肁莀莈蚄肁肀薄薀膀膂莆袈腿芅薂螄膈蒇莅螀膇膇蚀蚆膆艿蒃羅膅莁蚈袁奥施康定治疗中重度慢性癌痛的疗效观察庞东生宋志刚海军安庆医院肿瘤内科(246003)摘要目的:观察奥施康定治疗中重度癌痛的疗效。方法:采用开放试验方法,对40例中重度癌痛患者进行治疗。奥施康定初始剂量l0mgl
3、2h-1,并根据疼痛缓解程度调整剂量。结果:40例中重度癌痛患者使用的奥施康定最小剂量l0mgl2h-1,最大剂量60mgl2h-1;治疗效果:完全缓解24例(60.0%),部分缓解15例(37.5%),轻度缓解2例(5.O%)。其中中度疼痛患者的显效率为100.0%(7/7),重度疼痛患者的显效率为96.9%(32/33),全部患者总的显效率为97.5%(39/40)。不良反应有:便秘15例,恶心呕吐4例,腹胀1例,尿潴留1例,嗜睡3例,头晕2例。结论:奥施康定治疗慢性癌性中重度疼痛疗效确切,有效
4、率高,不良反应轻,服用安全。关键词奥施康定;癌痛;疗效观察CurativeEffectofOxycontinonModerateandSevereChronicCancerPainPANGDongsheng,SONGZhigang.DePartmentofInternalMedicineOncology,HaijunAnQingHospital.246003,ChinaABSTRACTObjective:ToobservetheanalgesiceffectofOxycontinonmoderate
5、andseverecancerpain.Methods:Openingexperiment;40patientswithmoderateandseverecancerpainwereselected.Oxycontinwasadministeredataninitialdoseof10mgevery12handtitratedupwardsaccordingtotheextentofpainrelief.Results:Thelowestandhighestdosesadministeredwere
6、l0mgl2h-1and60mgl2h-1,respectively.Amongthe40patientssufferingmoderateandsevencancerpain,24(60.0%)achievedcompleteremission,15(37.5%)achievedpartialremission,and2(5.0%)achievedminorremission.PainreliefprovidedbyOxycontinwas100%(7/7)inpatientswithmodera
7、techroniccancerpain,96.9%(32/33)inpatientswithseverechroniccancerapaintsand97.5%(39/40)forallpatientscombined.Theadversereactionswereconstipation(15cases),nauseaandvomiting(4cases),abdominaldistention(1cases),anuria(1cases),lethargy(3cases)anddizziness
8、(1case).Conclusion:Oxycontinaresafeandeffestiveformoderateandseverechroniccancerpain.Theyworkquicklywithfewsideeffects.KEYWORDSOxycontin;cancerpain;curativeeffect疼痛被定义为一种令人不快的感觉和情绪上的感受,伴随着现存的或潜在的组织损伤。疼痛经常是主观的,不仅是一种简单的生理应答,同时还是一种主观的心理体验[
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