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疼痛是癌症患者主要症状之一,尤其是晚期患者更为多见,常需依赖于麻醉止痛药品的频用,以获一时的缓解。笔者近年来以自制止痛散配合硝苯地平口服试治于晚期消化道癌痛患者30例.经临床观察初步显示一定疗效,现报告如下。1资料与方法1.1 临床资料:本组30例,男18例,女12例.年龄43~69岁。其中食管癌6例,胃癌24例。疼痛部位食管癌6例均以胸背部疼痛为主,胃癌24例则以上腹部疼痛为主。1.2治疗疗法及结果:止痛散(琥珀、乌贼骨等)每次2g,每日4次(餐前及临睡前)水冲服.硝苯地平10~20mg,每日4次。 本组病例均按全国癌痛治疗协会拟定之观察标准列表登计,记录结果见附表。30例患者均服止痛散。2天内缓解者9例,6天内缓解者18例.其中13例服用
Pain is one of the main symptoms of cancer patients, especially in advanced patients is more common, often dependent on the frequency of narcotic painkilling drugs, to be temporary relief. In recent years, the author of homemade painkillers with nifedipine oral trial in patients with advanced gastrointestinal cancer pain in patients with 30. Preliminary clinical evidence of a certain effect, are as follows. 1 Materials and Methods 1.1 Clinical data: The group of 30 patients, 18 males and 12 females, aged 43 to 69 years. Including esophageal cancer in 6 cases, 24 cases of gastric cancer. Pain in 6 cases of esophageal cancer were chest and back pain, 24 cases of gastric cancer mainly abdominal pain. 1.2 Therapeutic treatment and results: analgesic powder (amber, cuttlefish bone, etc.) each 2g, 4 times a day (before meals and before going to sleep) water blunt. Nifedipine 10 ~ 20mg, 4 times a day. This group of patients according to the national cancer pain treatment association to develop the list of observational standards, record the results, see the attached table. 30 patients were given painkillers. In 2 days, 9 cases were relieved and 18 cases were relieved within 6 days, of which 13 cases were taken