Archive for February, 2009

Do not just pain in one step

Tuesday, February 10th, 2009

Do not just pain in one step

Cancer is a serious harm to human health diseases. Globally, about 1,000 people each year a new cancer. The next 20 years in the number of patients from the current 10 million to 15 million per year, about 160 million people in China every year a new cancer.

It is noteworthy, cancer pain is a common symptom of cancer patients. According to WHO statistics, for treatment of cancer patients 50% had varying degrees of pain, 70% of advanced cancer patients that pain is the main symptom, 30% of cancer patients have severe pain unbearable. Shows that cancer pain is a common worldwide problem. Effective pain treatment to improve the quality of life of cancer patients is very important. To this end, the World Health Organization strongly recommends a three step method of relieving pain of cancer pain.

Method is a three-step analgesic ladder of pain in patients with different degrees according to the different levels of pain medication were used for the treatment principles for analgesia.

Three-step method of relieving pain using the premise that the level of assessment of cancer pain to learn. Patients with cancer pain should be divided into mild, moderate and severe 3, the most common method is to use the 0-10 pain rating scale level. Doctors to ask patients to him: "If 0 is a painless, 10, was the most pain you can imagine. Well, you are now the pain is almost level? Pain when the most important of several class? Lightest when several stages?"

1 ~ 4 for the mild pain, although patients with pain but tolerable, can live a normal life;
5 to 6 moderate pain, significant pain, can not stand, of sleep;
7 to 10 severe pain, severe pain, can not sleep, may be associated with a passive position or the performance of autonomic dysfunction.

Three-step method of relieving pain with oral medication-based, oral drug used for each step there.

The first step
Mild pain to non-opioid (non-steroidal anti-inflammatory drugs) plus or minus auxiliary painkillers. Commonly used drugs as aspirin, Fenbid (ibuprofen sustained-release capsules) and so on.

The second step
Moderate pain, weak opioid to add and subtract non-steroidal anti-inflammatory drugs and painkillers aid. Common drugs of codeine, tramadol, etc..

The third step
Severe pain for opioid addition and subtraction of non-steroidal anti-inflammatory drugs and painkillers aid. Commonly used drug morphine tablets, the United States Physio (morphine sustained release tablets) and so on. In the past that the pain will be with morphine addiction, so patients are usually reluctant to use morphine, now that this view is wrong.
Shen Xuan