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硫酸吗啡控释片直肠给药控制癌痛疗效观察 被引量:11

Efficacy of rectal administration of morphine sulfate controlled-release tablets for treatment of cancer pain
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摘要 目的 :评定硫酸吗啡控释片 (MST)直肠给药对中、重度癌性疼痛的镇痛疗效。方法 :采用自身对照法。 48例伴有中、重度癌性疼痛病人先口服MST6天 ,然后改为MST直肠给药 6天。结果 :MST直肠给药有效率和显著有效率 (明显缓解 +完全缓解 )分别为 95 83%与 81 2 5 %。治疗后疼痛明显减轻 ,生活质量明显提高 ,直肠给药与口服给药相比疗效无显著差异 (P >0 0 5 )。副作用与口服给药相同 ,主要为嗜睡、恶心、呕吐、便秘。结论 :MST直肠给药具有良好镇痛效果 ,尤其适合于不能口服给药的晚期癌症患者。 Objective:To evaluate the analgesis effect of morphine sulfate Controlled release tablets (MST) administered rectal in patients with moderate or severe Cancer pain.Methods:Forty eight patients with moderate or Severe cancer pain were treated with controlled release MST for 12 days. MST was given orally for the first 6 days and then rectally.Results:The total response rate and the significant response rate are 95 83% and 81 25% respectively. After treatment, the pain alleviated significantly and life quality improved markedly. Rectal administration had no Significant difference as compare with oral administration in efficacy ( P >0 05) and they had same side effects as lethargy, nausea, Vomiting and constipation. No more dosage should be added when oral administration was changed by rectal administration.Conclusion:Rectal administration of MST has remarkable efficacy in cancer pain relief, especially for those cancer of late stage patients to whom oral administration is not available.
机构地区 青岛市肿瘤医院
出处 《临床肿瘤学杂志》 CAS 2002年第2期121-123,共3页 Chinese Clinical Oncology
关键词 硫酸吗啡控释片 癌性疼痛 直肠给药 疗效 Morphine sulfate controulled release Cancer pain Rectal administraion Efficacy
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