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芬太尼贴剂治疗73例晚期癌痛的观察和护理 被引量:3

Clinical observation of Transdermal Fentanyl in the treatment of advanced cancer pain
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摘要 目的:观察芬太尼(多瑞吉)贴剂对晚期癌痛的疗效和不良反应,探讨临床护理干预措施。方法:以芬太尼贴剂治疗晚期癌痛患者,初始剂量为5μg/h,贴膜每3天更换1次,观察疗效并进行相应护理。结果:缓解率100%,其中完全缓解31例(42.5%),明显缓解36例(49.3%),中度缓解6例(8.2%)。不良反应主要有头晕、嗜睡、恶心、呕吐、皮肤瘙痒、便秘、排尿困难等。结论:通过心理护理、用药护理、疼痛的观察以及对不良反应的护理等,提高了患者对芬太尼贴剂的耐受性,取得了较为满意的镇痛作用。 Objective: To observe the therapeutic efficiency and side effects of Transdennai Fentanyl (durogesic) on advanced cancer pain, and the nursing measures. Methods: Seventy - three patients in moderate and severe cancer pain were treated with Tranadorreal Fentanyl. The beginni.ng dosage was 5μg/h, the skin pad was changed every three days, and correlation effects and medical cares should be taken. Results: The total response rate was 100%, in with 31 case complete remission (42.5%), 36 cases of evident remission (49.3%) and 6 case of moderate remission (8.2%). The side effects ,vere mainly included sleepiness, nausea dizziness, constipations, vomitting dysuria cutaneous itch., ect. Couclusion is a beneficent for the patients to improve the therapeutic efficiency and abate side effects of Transdermai Fentanyl through mental care, cancer pain control and nursing.
机构地区 嘉兴市第一医院
出处 《天津护理》 2006年第3期132-133,共2页 Tianjin Journal of Nursing
关键词 芬太尼贴剂 癌痛 疗效 护理 Transdennai Fetauyl, Cancer Pain, Therapy Efficiency, Nursing
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参考文献3

  • 1[美]帕里斯主编,宋子贤译.癌症疼痛治疗:原理与实践[M].天津:天津科学技术出版社,2003.7—78
  • 2李金祥 RbertG Twycross MellarP Davis.姑息医学[M].北京:人民卫生出版社,2005,4..
  • 3胥桂英,隋振霞.芬太尼透皮贴剂治疗中、重度癌痛的护理体会[J].国外医学(护理学分册),2005,24(8):471-472. 被引量:1

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