王昆, 宋伟, 佟仲生, 穆怀焕, 赵宏伟, 魏青, 赵秋生, 李淑芬, 唐继强. 芬太尼透皮贴剂在中度癌痛治疗中的临床观察[J]. 中国肿瘤临床, 2006, 33(10): 577-579.
引用本文: 王昆, 宋伟, 佟仲生, 穆怀焕, 赵宏伟, 魏青, 赵秋生, 李淑芬, 唐继强. 芬太尼透皮贴剂在中度癌痛治疗中的临床观察[J]. 中国肿瘤临床, 2006, 33(10): 577-579.
Wang Kun, Song Wei, Tong Zhongsheng, Mu Huaihuan, Zhao Hongwei, Wei Qing, Zhao Qiusheng, Li Shufen, Tang Jiqiang. Clinical Observation of Fentanyl Transdermal Patch in Treatment of Moderate Cancer Pain[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2006, 33(10): 577-579.
Citation: Wang Kun, Song Wei, Tong Zhongsheng, Mu Huaihuan, Zhao Hongwei, Wei Qing, Zhao Qiusheng, Li Shufen, Tang Jiqiang. Clinical Observation of Fentanyl Transdermal Patch in Treatment of Moderate Cancer Pain[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2006, 33(10): 577-579.

芬太尼透皮贴剂在中度癌痛治疗中的临床观察

Clinical Observation of Fentanyl Transdermal Patch in Treatment of Moderate Cancer Pain

  • 摘要: 目的 :观察芬太尼(多瑞吉)透皮贴剂在中度癌痛的治疗效果,探讨该贴剂使用的最佳时机。 方法 :选择98例成年癌痛患者,疼痛视觉模拟评分(VAS)为4~6分。芬太尼透皮贴剂从2.5mg剂型开始,每隔3天更换一次,用药时间为15天。治疗过程中观察患者的疼痛评分和药物的不良反应。 结果 :治疗前后的VAS比较有显著性差异(P<0.01);治疗过程中常见的不良反应为便秘、恶心、呕吐、头晕和嗜睡。 结论 :芬太尼透皮贴剂能安全用于中度癌痛患者的治疗,推荐使用时机为一、二阶梯镇痛药物常规剂量效果不满意且VAS评分为4~6分的癌痛患者。

     

    Abstract: Objective :To investigate the effects of fentanyl-TTS (transdermal fentanyl, Durogesic)on the treatment of moderate cancer pain and the indication of administration for these patients. Methods :98 adult patients with cancer pain were selected. The pain assessment score of visual ana-logue scale(VAS) was between 4 to 6. Fentanyl-TTS was administered from the dosage of 2.5mg. Alter-nation of Fentanyl-TTS was three days and the duration of treatment was 15 days. The score of VAS,side-effect of Fentanyl-TTS were observed during the procedure. Results :VAS before research wassignificantly higher than that after treatment of fentanyl-TTS (P<0.01). Constipation, nausea, vomiting,dizzy and drowsiness were common symptoms of side-effects. Conclusion :Moderate cancer pain couldbe well treated with fentanyl-TTS with a favourable safety profile. The indications was the patientswhom the VAS was between 4 to 6 and cancer pain was bad treated with 1st and 2nd ladder anal-gesics.

     

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