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目的 :观察硫酸吗啡控释片 (MST)直肠给药对中、重度癌性疼痛的镇痛疗效 ,并以口服MST做自身对照。方法 :39例伴有中、重度癌性疼痛的患者先口服MST5天 ,后改为MST直肠给药连用 5天。结果 :MST直肠给药有效率和显著有效率 (明显缓解 +完全缓解 )分别为 94.9%和 82 .1%。治疗后疼痛程度明显减轻 ,生活质量明显提高 ,直肠给药与口服给药相比疗效无显著性差异 (P >0 .0 5 )。副作用与口服给药相同 ,主要为便秘、恶心、呕吐、嗜睡 ,且由口服给药改为直肠给药无需增加剂量。结论 :MST直肠给药具有良好的镇痛效果 ,尤其适用于不能口服给药的晚期癌症患者。
Objective: To observe the analgesic effect of rectal administration of morphine sulfate controlled-release tablets (MST) on moderate and severe cancerous pain and to use MST as oral self-control. Methods: Thirty-nine patients with moderate-to-severe cancer pain were treated with oral MST for 5 days and then re-administered with MST for 5 days. RESULTS: The efficacies and significant efficacies (remission + complete remission) of rectal administration of MST were 94.9% and 82.1%, respectively. After treatment, the pain was relieved and the quality of life improved significantly. There was no significant difference between rectal administration and oral administration (P> 0.05). Side effects and oral administration of the same, mainly constipation, nausea, vomiting, drowsiness, and from oral administration to rectal administration without increasing the dose. Conclusion: MST rectal administration has good analgesic effect, especially for advanced cancer patients who can not be orally administered.