芬太尼緩釋透皮貼劑聯合心理暗示治療中重度癌性疼痛_West China Medical Journal

Authors：

何建萍 , 張穎 , 易成 ,  李寧 , 畢鋒 , 許峰

（收稿：2011-10-10　修回：2012-02-27）【作者簡介】何建萍（1974－），女，四川成都人，醫師，在讀碩士，E-mail：hxydhjp@sina.com【通訊作者】李寧，E-mail：zhenjiuhuaxi@163.com【網絡出版時間】 2012-03-19 16:07【網絡出版地址】 http://www.cnki.net/kcms/detail/51.1356.R.20120319.1607.001.html;

Corresponding?author：

李寧, Email: hxydhjp@sina.com

Keywords：

芬太尼緩釋透皮貼劑; 中重度癌性疼痛; 心理暗示

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目的　評價芬太尼透皮貼劑（TDF）聯合積極心理暗示對中重度癌性疼痛治療的效果。方法　將2011年1月－8月40例中重度癌性疼痛患者隨機分為對照組和觀察組，每組各20例。對照組患者采用TDF 50 μg/h治療，貼膜每3天更換一次；觀察組患者在對照組治療方法基礎上，再聯合積極心理暗示治療。觀察兩組患者治療前后疼痛改善情況及不良反應。結果　觀察組患者疼痛及生活質量均較對照組有明顯改善。結論　TDF聯合積極的心理暗示可以減輕患者疼痛程度，并可提高其生活質量。

Citation： 何建萍,張穎,易成,李寧,畢鋒,許峰. 芬太尼緩釋透皮貼劑聯合心理暗示治療中重度癌性疼痛. West China Medical Journal, 2012, 27(3): 339-400. doi: Copy

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1. 　Fo1ey KM. The treatment of Cancer pain[J]. NEJM, 1985, 313(2): 84-95.
2. 　Ahmedzai S. New approaches to pain control in patients with cancer[J]. Eur J Cancer, 1997, 33(Suppl 6): 8-14.
3. 　Portennoy rK, Southam MA, Gupta SK, et al. Transdermal fentanyl for cancer pain[J]. Anesthesiology, 1993, 78(1): 36-43.
4. 　于世英. 芬太尼緩釋透皮貼劑[J]. 中國新藥雜志, 1999, 8(2): 86-88.
5. 　Abidin mR, Arosarena O, Koch WM, et al. Transdermal fentanyl[J]. Otolay Head Neck Surg, 1994, 111(5): 680.
6. 　Ahmedzai S, Brooks D. Transdermal fentanyl versus sustained-release oral morphine in cancer pain: preference, efficacy and quality of life. The TTS-Fentanyl comparative Trial Group[J]. J Pain Symptom Manage, 1997, 13(5): 254-261.
7. 　Grond S, Zech D, Lehmann KA, et al. Transdermal fentanyl in the long-term treatment of cancer pain: a prospective study of 50 patients with advanced cancer of the gastrointestinal tract or the head and neck region[J]. Pain, 1997, 69(1-2): 191-198.
8. 　倪家俊, 段紅光. 癌癥疼痛經皮給藥療法[J]. 遼寧醫學雜志, 2001, 15(4): 176.
9. 　余華琴, 陳華英, 任若梅. 芬太尼緩釋透皮貼劑治療晚期癌性疼痛的療效觀察[J]. 華西醫學, 2011, 26(7): 1092-1094.

West China Medical Journal

芬太尼緩釋透皮貼劑聯合心理暗示治療中重度癌性疼痛

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