实用肿瘤学杂志 ›› 2009, Vol. 23 ›› Issue (5): 444-446.doi: 10.3969/j.issn.1002-3070.2009.05.012

• 论著 • 上一篇    下一篇

羟考酮控释片治疗中重度癌痛的疗效观察

梁惠芳, 刑世江, 林淑珍   

  1. 广东省佛山市顺德区容奇医院肿瘤内科(佛山 528300)
  • 收稿日期:2009-04-02 出版日期:2009-10-25 发布日期:2012-02-21
  • 作者简介:梁惠芳, 女, (1974-), 本科, 主治医师, 从事肿瘤内科临床工作

Clinical observation of controlled-release oxycondone in the management of moderate to severe cancer pain

LIANG Huifang, XING Shijiang, LIN Shuzhen.   

  1. Department of Medical Oncology, RongQi Hospital, FuShan 528300
  • Received:2009-04-02 Online:2009-10-25 Published:2012-02-21

摘要: 目的观察盐酸羟考酮控释片(奥施康定)治疗晚期癌症中、重度疼痛的临床效果、不良反应及患者生活质量的改善情况。方法 38例中、重度疼痛患者给予羟考酮控释片镇痛治疗, 正在用吗啡类镇痛药者按照吗啡1/2剂量换算, 中度疼痛起始剂量大多为5mg Q12h, 服用24h如疼痛分数仍≥4分, 则第二天加量至10mg Q12h;重度疼痛患者起始剂量大多为10mg Q12h, 服用24h如疼痛分数仍≥4分第二天加量至15mg Q12h, 服用24h如疼痛分数仍≥4分第三天加量至20mg Q12h, 以此类推。结果 羟考酮控释片最终滴定剂量为:剂量≤30mg/d的17例(44.7%), 31mg/d-60mg/d的9例(23.7%), 61mg/d-120mg/d的10例(26.3%), ≥120mg/d的2例(5.3%)。总有效率(CR+PR)为94.7%(36/38)。常见副反应:便秘40例(65.6%), 头晕头痛9例(14.7%), 恶心呕吐7例(11.5%), 嗜睡5例(8.2%), 没有出现呼吸抑制现象。结论 羟考酮控释片不良反应较少, 治疗中重度癌性疼痛安全、疗效显著, 能显著改善癌症患者的生活质量。

Abstract: Objective To evaluate the efficacy and adverse side effects of controlled-release oxycondone in the management of moderate to severe cancer pain in patients with teminal cancer and to observe any improvement on the life quality of cancer patients.Methods Thirty-eight patients with moderate or severe cancer pain were treated with controlled-release oxycondone.The initial dose was 5mg q12h to the cancer patients with moderate pain or 10mg q12h to the cancer patients with severe pain, or 1/2 that of the standard morphine regimen.Results The final titrated dosage of oxycondone was as follows:the patients in 17 cases(44.7%)received a dosage of ≤30mg/d, those in 9 cases(23.7%)received a dosage of 31 to 60mg/d, those in 10 cases(26.3%)received a dosage of 61 to 120mg/d and those in 2 cases(5.3%)received a dosage of ≥120mg/d.The overall rate of relief from pain was 94.7%.The common side effects reported were constipation in 40 cases(65.6%), dizziness in 9 cases(14.7%), nausea in 7 cases(11.5%)and somnolence in 5 cases(8.2%)during controlled-release oxycodone treatment.No patient had respiratory depression.Conclusion The side effects of controlled-release oxycodone are mild, and the drug is effective and safe for the management of cancer patients with moderate to severe pain and can significantly improve the life quality of cancer patients with pain.

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