Advanced pancreatic cancer pain medication, 85% of patients with advanced pancreatic cancer associated with pain, the nature of the upper abdomen often dull, with the progress of the disease, the pain may radiate to the back. The main reason is the infiltration of the tumor itself, nerve and pancreatic duct obstruction due to peritoneal, which increased pressure caused by stimulation of pancreatic sensory nerves in the pain. A very small number of patients may also arise from the transfer, the transfer parts of the pain.
Pain relief is to improve the quality of life in patients with pancreatic cancer an important component, it must be doctors, patients and their families attention. Advanced pancreatic cancer pain medication, which includes pain assessment, treatment and re-assessment of three steps. Evaluation process to the treatment of pain, physical examination and detailed history of application of a comprehensive assessment of pain, use of effective pain assessment and selective grading laboratory examination, treatment, including treatment and control of primary disease symptoms in two ways. Treatment of primary disease, including chemotherapy, radiation therapy and other palliative treatments such as radiofrequency ablation, as these methods can kill the tumor so as to reduce or eliminate pain; control pain can choose the following methods:
(1) pain medications: 85% of the patients with oral analgesics, the pain will be greatly eased. Appropriate auxiliary methods such as sedatives or analgesics such as antidepressants can obtain better results, when the oral route of administration can change the difficulty of continuous hard as external pancreatic analgesia pumps.
Commonly used in clinical treatment of pancreatic cancer pain are: pain, tumor hyperthermia security posts , toad Wu Babu cream, Sanjie Xiaoliu cataplasm, Berson cancer Ning, Wu A high hydrobromide injection .
(2) Other methods: In the above methods to control pain are not satisfied, it can take some invasive methods, such as celiac plexus surgery cut by intraperitoneal injection of carbolic acid or anhydrous alcohol puncture damage to the solar plexus and so on. To emphasize here is that doctors should pay attention to the patient's subjective pain sensation, patients and their families and even doctors in opioid analgesics should be properly understood. At present, many people think that application of such drugs will be "addicted" (ie, psychological dependence) to refuse the application is actually very rare for cancer patients addicted to drugs even if the original application should first consider the pain of patients, and dosage should be relatively larger.