癌症疼痛姑息治疗-精选课件.ppt

1、 癌症疼痛姑息治疗癌症疼痛姑息治疗 Cancer Pain RelieveCancer Pain Relieve 北京协和医院呼吸科北京协和医院呼吸科 张力张力 李龙芸李龙芸我国2019年AustriaAustriaUSAUSAFranceFranceUKUKGermanyGermanyJapanJapanTaiwaiTaiwaiChinaChina74.9574.95Kg/百万人口百万人口0 0500050001000010000150001500020000200002500025000300003000035000350004000040000IrelandIrelandDenmarkD

2、enmarkUKUKSwitzerlandSwitzerlandGermanyGermanyIndiaIndiaItalyItalyChinaChinaTotalTotalMorphiMorphinene：骨受累阿阿片片类类药药物物及及其其等等效效剂剂量量药物口 服 剂 量 静脉和肌肉注射剂量 持续时间（小时）吗啡30103-4氢吗啡酮5-7515-23-4芬太尼25ug（经皮）48-72度冷丁300752-4美砂酮2010-156氢可酮30NA3-4羟考酮30NA3-4可待因2001203-4NA=无静脉和肌肉注射剂型药物药物强度强度作用时间作用时间(h(h）MorphineMorphine

3、Morphine SRMorphine SRMorphine SR+Morphine SR+Fentanyl TTSFentanyl TTSOxycodoneOxycodoneHydromorphoneHydromorphoneMethadoneMethadone1 11 11 170702+2+7.57.53-43-44 48-128-1218-2418-2448-7248-728-128-128-128-126-8+6-8+PethidinePethidinePentazocinePentazocine1/81/81/81/82-32-32-32-3D Do os sa ag ge e(O

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