内容紹介
Summary
Cancer pain was observed in 131 of 160 patients with advanced cancer living at home. Oxycodone or morphine was administered to patients suffering from cancer pain or fentanyl transdermal patch was switched to morphine. Subsequently, 70 patients were found to have alleviation of symptoms such as nausea/vomiting, dyspnea, abdominal fullness, general fatigue, cough, and urinary urgency in addition to pain. Pain was defined as an unpleasant sensory and emotional experience associated with actual or potential tissue damage or described in terms of such damage by the International Association for the Study of Pain. This definition of pain is cited in a lot of books. However, the author was unable to intervene with detailed reports of unpleasant sensations associated with tissue damage. Therefore, here the author reports about an unpleasant sensation caused by tissue damage of cancer that was alleviated by oxycodone or morphine.
要旨
在宅療養中の進行がんの患者で160例中,がん疼痛を認めた131例に対しオキシコドン,モルヒネの導入やフェンタニル貼付剤からモルヒネへスイッチングを行った。そのうち70例は疼痛の他,悪心・嘔吐,呼吸困難,腹部膨満感,全身倦怠感,咳,尿意切迫感などの症状も同時に楽になったと表現された。国際疼痛学会は,痛みを「実際の組織損傷あるいは組織損傷の可能性,またはそのような損傷の際に表現される不快な感覚および情動体験」と定義し多くの成書で引用されているが,組織損傷による不快な感覚に対する詳細な報告を筆者は渉猟することができなかったので調査し報告する。
目次
Cancer pain was observed in 131 of 160 patients with advanced cancer living at home. Oxycodone or morphine was administered to patients suffering from cancer pain or fentanyl transdermal patch was switched to morphine. Subsequently, 70 patients were found to have alleviation of symptoms such as nausea/vomiting, dyspnea, abdominal fullness, general fatigue, cough, and urinary urgency in addition to pain. Pain was defined as an unpleasant sensory and emotional experience associated with actual or potential tissue damage or described in terms of such damage by the International Association for the Study of Pain. This definition of pain is cited in a lot of books. However, the author was unable to intervene with detailed reports of unpleasant sensations associated with tissue damage. Therefore, here the author reports about an unpleasant sensation caused by tissue damage of cancer that was alleviated by oxycodone or morphine.
要旨
在宅療養中の進行がんの患者で160例中,がん疼痛を認めた131例に対しオキシコドン,モルヒネの導入やフェンタニル貼付剤からモルヒネへスイッチングを行った。そのうち70例は疼痛の他,悪心・嘔吐,呼吸困難,腹部膨満感,全身倦怠感,咳,尿意切迫感などの症状も同時に楽になったと表現された。国際疼痛学会は,痛みを「実際の組織損傷あるいは組織損傷の可能性,またはそのような損傷の際に表現される不快な感覚および情動体験」と定義し多くの成書で引用されているが,組織損傷による不快な感覚に対する詳細な報告を筆者は渉猟することができなかったので調査し報告する。