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“三阶梯”止痛原则临床实践20年 被引量:35

WHO "Analgesic Ladder" Guideline:20 years of ever-improving practice
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摘要 WHO癌痛"三阶梯"止痛原则发布20年来,经过医患双方上亿人次的临床实践,取得了巨大成功。人类对癌性疼痛乃至良性疼痛的认识,从来没有如此深刻;有关止痛的实践也从来没有如此广泛。作者回顾了"三阶梯"原则的产生背景和历史功绩,指出了"三阶梯"原则在实践中丰富和发展的必要性。作者建议,今后我国癌症止痛应"临床勇于实践,用药讲究技巧,工作重点下移"。 The "Analgesic Ladder" guideline for cancer pain has been proven a magnificent success after hundreds of millions of times of practices by medical workers and patients in 20 years. The understandings of cancer pain, benign pain and analgesia have also reached a tremendous climax. While reviewing the background and contribution of the "Analgesic Ladder", the author illus- trated that it is very necessary for the guideline to improve and develop through practice and concluded analgesia in China should be carried out "by the practice, by the individuality and by the community".
作者 刘端祺
出处 《医学与哲学(B)》 2007年第10期10-12,18,共4页 Medicine & Philosophy(B)
关键词 实践 癌症 “三阶梯”止痛 practice cancer analgesic ladder for cancer pain
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参考文献6

  • 1World Health Organization.Cancer Pain Relief[]..1986
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  • 6Muller A,Koch B,RenéF,et al.Mechanisms of opioidtolerance and opioid dependence[].Annales Francaises d Anesthesie et de Reanimation.1999

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