【摘要】 目的:观察吗啡类控缓释片、芬太尼贴剂与疼痛教育联合治疗中重度癌性疼痛的疗效。方法:回顾分析应用吗啡类控缓释片和采用芬太尼贴剂联合健康教育治疗中重度疼痛140例患者临床疗效的资料。结果:应用吗啡类控缓释片40例,完全缓解22例,明显缓解10例,中度缓解2例,轻度缓解3例,总缓解率92.5%;应用吗啡类控缓释片联合疼痛教育40例,完全缓解23例,明显缓解11例,中度缓解3例,轻度缓解1例,总缓解率95.0%。采用芬太尼贴剂治疗30例,完全缓解16例,明显缓解6例,中度缓解5例,轻度缓解1例,总缓解率93.3%;采用芬太尼贴剂联合疼痛教育治疗30例,完全缓解16例,明显缓解7例,中度缓解4例,轻度缓解2例,总缓解率96.7%。结论:吗啡控缓释片及芬太尼贴剂,是目前在临床上用以控制中重度癌痛的有效药物,联合有效的健康教育可以明显减少患者的顾虑,改变患者控制疼痛的态度和行为,提高患者的生活质量。更多还原

【Abstract】 Objective: To observe the curative effect of opiates combined with pain education for the moderate and severe cancerous pain.Methods: The data on clinical curative effect of opiates combined with pain education in 140 patients with moderate and severe pain were retrospectively analyzed.Results: Of 40 patients with opiumism,22 cases were completely alleviates(55.0 %),10 cases were obviously alleviated(25.0 %),2 cases were moderately alleviated(7.5 %),3 case was mildly alleviated(2.5 %),with a total alleviating rate of 92.5 %.Of 40 patients given opiumism combined with pain education,23 cases were completely alleviated(57.5 %),11 cases were obviously alleviated(27.5 %),3 cases were moderately alleviated(7.5 %),1 case was mildly alleviated(2.5 %),with a total alleviating rate of 95.0 %.Of 30 patients with Fentanyl pastes,16 cases were completely alleviated(53.3 %),6 cases were obviously alleviated(20.0 %),5 cases were moderately alleviated(16.7 %),1 case was mildly alleviated(3.3 %),with a total alleviating rate of 93.3 %.Of 30 patients given Fentanyl pastes combined with pain education,16 cases were completely alleviated(53.3 %),7 cases were obviously alleviated(23.3 %),4 cases were moderately alleviatesd(13.3 %) and 2 cases were mildly alleviated(6.7 %),with a total alleviating rate of 96.7 %.Conclusion: Opiumism and Fentanyl pastes are clinically effective drugs for alleviating moderate and severe cancerous pain,the combination of which with pain education can obviously reduce the patients’ worry and anxiety,change patients’ attitude towards controlling the pain and thus improve their life quality.更多还原