从多国指南看阿片类药物癌痛治疗（Opioid therapy for cancer pain a Multi Country guideline）.docVIP

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从多国指南看阿片类药物癌痛治疗（Opioid therapy for cancer pain a Multi Country guideline）.doc

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从多国指南看阿片类药物癌痛治疗（Opioid therapy for cancer pain a Multi Country guideline）

从多国指南看阿片类药物癌痛治疗（Opioid therapy for cancer pain a Multi Country guideline） Opioid therapy for cancer pain: a Multi Country guideline General Hospital of Beijing Military Region oncology Li Xiaomei Opioids are integral to analgesic therapy and are widely used in the treatment of moderate and severe cancer pain. In recent years, opioid drugs and new forms of drugs have been emerging, which make clinicians have more choices in the treatment of pain, and make more scholars pay more attention to the standardized application of opioid drugs. Clinical practice guidelines for medical practice and research evidence is a bridge connection, is an effective way to standardize clinical practice, with its authority and operability has been widely recognized by clinicians, such as WHO (WHO) analgesic guidelines and the national comprehensive cancer network (NCCN) adult cancer pain has been known as the industry guide. The five principles of WHO, three steps, adherence to the oral, on time, ladder, individualized treatment and attention to specific details have been accepted by various countries, and have been enriched and developed. NCCN guidelines for adult cancer pain were first published in 2000. Since 2005, it has been updated and improved every year. It is one of the most advanced and authoritative guidelines for cancer pain treatment in the world in recent years. In addition to the above guidelines, the author also searched several western countries for adult cancer pain guidelines, and now the main principles of opioid use are summarized as follows, for reference. The degree of pain is the basis of opioids Pain is the subjective feeling or feeling of patients, and it is the most basic principle of cancer pain assessment to believe the patients chief complaint. The degree of pain is still the main basis for the choice of opioid therapy. In the initial treatment of mild cancer pain, the first step medicine should be used, and the moderate to severe cancer pain should be treate