臺灣地區癌症患者之疼痛控制

Pain Control in Cancer Patients in Taiwan

林昌誠(Chung-Chen Lin)

《北市醫學雜誌》 2卷5期 (2005/05) Pp. 423-428

https://doi.org/10.6200/TCMJ.2005.2.5.02

摘要

癌症是國內十大死因之首，多數的癌症病患會有疼痛的症狀，但大部份的疼痛問題都沒有得到良好的控制。癌症疼痛是整體痛，包括生理的、心理的與社會經濟面的。癌症疼痛的評估依照其重要性而有各種不同的評估方式。世界衛生組織建議以三階梯止痛原則來處理癌症疼痛。嗎啡是癌症疼痛控制主要藥物，更是世界各國用來比較疼痛治療的重要指標。近年來，吩坦尼貼片更增加癌症疼痛控制的方便性與減少副作用，使病患能得到良好的生活品質。至於癌症病患心理的與社會經濟面的疼痛，則須各種專業團隊的共同努力。

關鍵字

癌症疼痛 ； 嗎啡 ； 吩坦尼

並列摘要

Cancer is the leading cause of death by disease in Taiwan. Most of the cancer patients have problems with pain, and they receive poor control of their pain. Cancer pain is an all-encompassing pain, which includes the physical, psychological and socio-economic aspects. The evaluation of cancer pain is very important, and there are many methods used for the evaluation. The World Health Organization has suggested the three ladder principle for managing cancer pain. Morphine is the most commonly suggested drug to treat cancer pain. Morphine was also the most important indicator of the pain control. Recently, the Fentanyl TTS Patch has been commonly used. It provides convenience and the least number of side effects. The cancer patients can maintain better life quality, but there are still many problems concerning the psychological and socio-economic pain. Therefore more professional workers need to be involved to resolve this problem.

並列關鍵字

cancer pain ； morphine ； Fentanyl