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为了控制癌痛,观察硫酸吗啡控释片治疗癌痛的疗效,作者于1995年2月至1996年5月用硫酸吗啡控释片治疗中、重度癌痛48例。结果:镇痛的显著有效率(完全+中度缓解)和有效率分别为79.2%(38/48)和91.7%(44/48);疼痛的程度减轻,治疗后疼痛级数(3.6±1.4)小于治疗前(7.8±1.2,P<0.05);生活质量有明显改善,治疗后Karnofsky评分(67±9)高于治疗前(39±11,P<0.05),副作用主要为便秘。结果提示:硫酸吗啡控释片在第三阶梯镇痛药中作为首选药,具有较好的临床应用价值。
In order to control cancer pain, we observed the efficacy of morphine sulfate controlled-release tablets in the treatment of cancer pain. From February 1995 to May 1996, 48 patients with moderate to severe cancer pain were treated with morphine sulfate controlled-release tablets. Results: The effective rate (complete + moderate remission) and effective rate of analgesia were 79.2% (38/48) and 91.7% (44/48) respectively; the degree of pain relief, the pain grade after treatment (3.6 ± 1.4) were lower than those before treatment (7.8 ± 1.2, P <0.05), and the quality of life improved significantly. The Karnofsky score (67 ± 9) after treatment was higher than that before treatment 11, P <0.05), the main side effects of constipation. The results suggest that: morphine sulfate controlled-release tablets in the third step analgesic drugs as the preferred drug, has good clinical value.