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大剂量芬太尼透皮贴剂治疗晚期癌痛的临床观察 被引量:19

Clinical effect of high-dose durogesic in the treatment of late carcinoma pain
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摘要 目的:观察大剂量芬太尼透皮贴剂治疗晚期癌痛的近期疗效及不良反应,评价其安全性。方法:使用大剂量芬太尼透皮贴剂(剂量≥300μg/h)治疗晚期癌痛5例,观察其止痛疗效及不良反应。结果:5例患者疼痛得到较好控制。出现便秘3例,1例患者出现头晕,1例患者出现嗜睡,经对症处理后均可缓解。未出现呼吸抑制、肝肾功能损害等不良反应。未出现治疗相关性死亡。结论:大剂量芬太尼透皮贴剂治疗晚期癌痛疗效满意,合理用药是安全有效的,其毒副反应可以耐受。 Objective: To evaluate the efficacy and safety of high - dose durogesic in the treatment of late carcinoma pain. Methods:Five patients suffered severe cancer pain received high -dose durogesic ( ≥300 μg/h). The efficacy and side - effects were observed. Results : All the patients gained significant improvement in muhiple aspects of the quality of life. The total effective rate was 100%. The main ADRs included constipation, dizziness, and drowsiness which were endurable, especially in the later therapeutic period. Conclusion:Transdermal fentanyl patches are the ideal alternative for patients with moderate to severe cancer pain.
出处 《现代肿瘤医学》 CAS 2016年第3期466-467,共2页 Journal of Modern Oncology
关键词 芬太尼透皮贴剂 疗效 不良反应 安全性 transdermal fentanyl patch,therapeutic efficacy, adverse drug reaction, safety
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