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癌痛晚期病人家属感受的相关性调查
随着癌症治疗水平的提高,癌症病人的存活率和生存时间逐渐提高.癌症病人家属在身体上、精神上都承受着极大的压力,他们的感受同样应该成为医护人员关注的焦点.使癌痛家属在亲人患癌期间维持较高的生活质量,减轻其不良反应,建立起有效地抗癌联盟,是我们努力的方向.本文对100例晚期癌痛病人家属进行调查,旨在了解不同年龄、性别、文化程度、职业的家属感受,以便给予不同的心理支持.
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多瑞吉治疗癌痛疗效观察及护理
疼痛是癌症病人的常见症状,有效的控制疼痛是提高肿瘤病人生活质量的重要环节.多瑞吉即芬太尼透皮贴剂,是一种新型麻醉性镇痛药,也是唯一含有阿片受体激动剂的透皮贴剂,是WHO 3阶梯止痛方案中第3阶梯用药.主要特点是通过皮肤吸收药物发挥疗效,持续时间达72 h.我科2006年3月-2006年6月,使用多瑞吉治疗30例癌痛病人,取得了较满意的止痛效果.现总结如下.
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芬太尼透皮贴剂在癌性疼痛治疗中的应用
Fentanyl transcutaneous strap is a kind of long termed opoid drug for treatment of moderate and severe pain.Its commercial name is Duoridge.It exchanges once every 72 hours.It can directly jump from step I to step III in clinic use.It is a safe and effective choice for those dying cancerouspatients,and is practicable in child cancerous pain.It has no significant difference in pain relieving compared to morphine.It has less lethargy effect of day time than morphine but causes good sleep at night.Adverse effects of Duoridge are less than morphine administrated per os.
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多瑞吉对晚期癌痛镇痛的疗效及生存质量评估
Objective To investigate therapeutic effect of duragesic in the treatment of cancerous pain in patients with advanced tumors.Method Before entering the study,all patients suffered from moderate to severe cancerous pain.All patients were given 5 doses of duragesic within 15 days.Evaluation was performed every 12 hours.We assessed pain intensity and pain relief by using numoral rating scale(NRS).Quality of life was also evaluated.Result Eventual dose was 2.5 mg in 10 cases,5 mg in 49 cases,7.5 mg in 5 cases,10 mg in 3 cases,and 12.5 mg in 1 cases,15 mg in 1 case Complete relief was observed in 13 cases,partial relief observed in 45 cases,effective rate was 84.06% .The therapeutic effect of duragesic was similar to that of MS contin.Therapeutic effect occurred 48~ 72 hours later and became most significant 2~ 4 days later,and maintain at constant level.Conclusion By the special pattern for delivery via transdermal system,duragesic produces lasting and stable analgesic effect.In addition,it is characterized by simple operation,convenient application,insignificant adverse effects.Hence,duragesic can replace oral strong opiod drugs.