復(fù)旦大學(xué)上海醫(yī)學(xué)院腫瘤學(xué)系-資料下載頁(yè)
2025-07-18 19:39本頁(yè)面
【正文】 nt drug。 for patients with severe pain, choose strong opioids 177。 Nonopioid analgesics 177。 adjuvant drugs. At all levels, certain NSAIDs and adjuvant drugs may be used for specific indications. The use of analgesics increases from weak to strong step by step. Unless the patient presenting is in severe pain, a strong opioid should be treated immediately. ? The basic rule for pharmacotherapy is to maximize pain relief and minimize side effects. So, administration by threestep analgesic ladder, regular administration, oral or nontrauma medication, personalized medication, detail management, and familiar with the drugs are beneficial content of the rule. ? Common analgesic drugs can be simply divided into nonnarcotic analgesics and narcotic analgesic drugs. ? Oral, rectal, transdermal, mucosal, injecting, perineural, and patient selfcontrol administration are the clinical administration for varies patients. Every path has its advantage and disadvantage for right person. ? NCCN provides a detail guideline for pain management in clinic. ? Opioids may cause some side effects, prtreatment can prevent the morbidity. The appropriate symptomatic treatment is given for the present symptoms. ? Using reasonably the appropriate narcotic analgesics and its dose, the drug tolerance, physical dependence, addiction, pseudoaddiction can be avoided. ? Besides medication therapy for pain, stimulation and ablation, never blocks, physical therapy, psychological and behavioral approaches, and acupuncture technique are the plimentary therapy for pain relief. ? There is no “golden standard” for patient to make all pain smooth away rapidly。 the methods which can be suitable for patient, and let he/she feels fortable, it is just socalled good pain management. 復(fù)旦大學(xué)上海醫(yī)學(xué)院腫瘤學(xué)系 Remended Readings: WHO threestep analgesic ladder。 NCCN adult cancer pain. If you have any question, please contact me. Teacher’s name： Cheng WenWu Department of palliative care, Shanghai Cancer Hospital Thank you! Fudan University Shanghai Cancer Center
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