查詢結果分析
相關文獻
- 臨床使用嗎啡控制癌末疼痛之研究
- Relief of Cancer-related Oral Pain with Transdermal Fentany1 Patch
- 治療癌症疼痛新武器--Hydromorphone緩釋錠
- 臺灣地區癌症患者之疼痛控制
- Intrathecal Drug Delivery System with Programmable Morphine Pump for Pain of Terminally Ill Cancer Patients
- 針刺治療癌症疼痛--病例報告
- Intrathecal Opioids Provide Satisfactory Conditions in Labor Analgesia and Spinal Anesthesia for Cesarean Section
- 是毒?是藥?--嗎啡類止痛藥
- The Significance of Pain Among Chinese Patients with Cancer in Hong Kong
- 臺灣地區十年來阿片類止痛藥使用趨勢之探討
頁籤選單縮合
題 名 | 臨床使用嗎啡控制癌末疼痛之研究=The Study of Morphine and Pain Control in Terminal Cancer Patients |
---|---|
作 者 | 姚建安; 邱泰源; 陳慶餘; | 書刊名 | 臺灣家庭醫學雜誌 |
卷 期 | 11:3 2001.09[民90.09] |
頁 次 | 頁139-145 |
分類號 | 418.2132 |
關鍵詞 | 嗎啡; 癌症疼痛; Morphine control; Terminal cancer pain; |
語 文 | 中文(Chinese) |
中文摘要 | 本研究以臺大醫院緩和醫療病房住院的癌末病患為對象,從1998年10月到1999年3月的期間內,共得到30名病人的加入。在徵得病患的同意後,以前瞻性的方法來收集其臨床資料,包括每天用藥前病人自述的疼痛分數和嗎啡使用劑量,並偵測血清中嗎啡及其代謝濃度,來分析臨床使用嗎啡劑量與療效的關係。結果平均每日每人的嗎啡用量為96.77mg,平均血清中嗎啡濃度為521.29nM,平均血清中M3G濃度為1510.82nM,平均血清中M6G濃度為168.44nM。經過統計分析,嗎啡使用劑量的多寡,與血清中嗎啡濃度有關,而與病患自述疼痛分數無明顯的關連性,故據此推論臨床上若要有止痛效果出現,固然使用的嗎啡劑量應該增加,但是其他心理社會因素等加入考量也是不可忽略的。另外分析病患自述疼痛分數與每天使用的嗎啡劑量、血清中的嗎啡及其代謝物濃度等四項的平均值皆無線性正向關係,所以綜合推論嗎啡的止痛效果,不是完全由血清中嗎啡或其代謝物的濃度做有效劑量的推測,加上心理社會及靈性的層次等的介入也是重要的影響因素。 |
英文摘要 | The study was conducted at the palliative care ward in National Taiwan University Hospital. After informed consent, a total of 30 patients were prospectively recruited in the period from October 1998 to March 1999. In order to analyze the clinical pain control by morphine effect, we collected clinical data of each patient which included patient self-reported pain score before morphine was taken and daily morphine dosage to correlate with serum concentrations of morphine and its hydroxyl metabolites. The mean daily morphine taken was 96.77mg with resaltant mean serum morphine level at 521.29nM, mean serum M3G and M6G levels at 1510.82nM and 168.44nM, respectively. Daily morphine dosage was positively corresponding to the mean serum levels of morphine, but not significantly to the levels of patient self-reported pain score. Besides, patient self-reported pain score was unrelated with daily morphine dosage. Therefore, the effects of pain control by morphine were not simply reflected by the dosage of morphine. Psychosocial and spiritual issues might play important roles to terminal cancer pain control. |
本系統中英文摘要資訊取自各篇刊載內容。