研究动态
Articles below are published ahead of final publication in an issue. Please cite articles in the following format: authors, (year), title, journal, DOI.

药物疗法疼痛管理:放射肿瘤学家应该知道什么。

Pharmacologic Pain Management: What Radiation Oncologists Should Know.

发表日期:2023 Apr
作者: Lara Michal Skarf, Katie Fitzgerald Jones, Jordana L Meyerson, Janet L Abrahm
来源: SEMINARS IN RADIATION ONCOLOGY

摘要:

癌症患者会经历众多症状,特别是在癌症进展时。疼痛可能是癌症本身或相关治疗带来的。疼痛得不到充分治疗会导致患者痛苦,缺乏对癌症治疗的参与。充分的疼痛管理包括全面评估;由放射治疗师或麻醉疼痛专家进行治疗;抗炎药物,口服或静脉鸦片类镇痛药和局部制剂;及关注疼痛的情感和功能影响,可能涉及社工、心理学家、言语治疗师、营养师、康复医学专家和姑息医学提供者。本综述讨论了在接受放射治疗的癌症患者中出现的典型疼痛综合征,并提供了疼痛评估和药物治疗的具体建议。由Elsevier Inc.出版。
Individuals with cancer experience a host of symptoms, especially when the malignancy is advanced. Pain occurs from the cancer itself or related treatments. Undertreated pain contributes to patient suffering and lack of engagement in cancer-directed therapies. Adequate pain management includes thorough assessment; treatment by radiotherapists or anesthesia pain specialists; anti-inflammatory medications, oral or intravenous opioid analgesics, and topical agents; and attention to the emotional and functional effects of pain, which may involve social workers, psychologists, speech therapists, nutritionists, physiatrists and palliative medicine providers. This review discusses typical pain syndromes arising in cancer patients undergoing radiotherapy and provides concrete recommendations for pain assessment and pharmacologic treatment.Published by Elsevier Inc.