癌痛治疗药物的合理选择.pptVIP

癌痛治疗药物的合理选择;;;;药物止痛治疗原则(WHO癌痛三阶梯止痛治疗指南);阿片类药物 - 控缓释剂型 - 即释剂型 + NSAIDs + 辅助用药 ;;;;;;;Lancet Oncol. 2012;13:e58-68. ;;;;;芬太尼贴剂只能用于阿片类药物耐受的情况，对不能口服者应作为首选 口服吗啡日剂量≥60mg/日，或口服羟考酮：≥30mg/日，或其它剂量相当的阿片类药物，至少一周或更长时间 FDA is looking into reports of death and other serious side effects from overdoses of the narcotic fentanyl in patients using the fentanyl transdermal skin patches for pain control. Directions for using the fentanyl skin patch must be followed exactly to prevent death or other severe side effects that can happen from using too much (overdosing) fentanyl.;;卫生部办公厅文件：GPM——阿片类镇痛药物的使用方法