title: [Comprehensive "4-step analgesic ladder" therapy in treating cancer-related pain-analysis of 486 cases].
abstract: This analysis indicated that patients with cancer-related pain account for 71.0% in author's material. After the TCM treatment, the effective rate were 91.6% in hepatocarcinoma-related pain; 86.1% in colon-rectal cancer-related pain; 68.2% in malignant lymphoma-related pain; 100% in irradiation-related pain of esophageal cancer, lung cancer, post-operative breast cancer. Results of "four-step analgesic ladder" showed that 52.1% of pain could be relieved by Step I (TCM therapy); if Step II (indomethacin) or III (phenylbutazone) was added, the rate of pain relief reached as high as 96.5%; and only 3.5% need to be treated by Step IV (Opioids). With less side-effects and addiction of opioids and other narcotics, the "four-step analgesic ladder" therapy seems to be more suitable for cancer pain relief in China.
authors.affiliation: Affiliated Hospital, Zhejiang College of TCM, Hangzhou.
authors.forename: L M
authors.initials: LM
authors.lastname: Liu
authors.forename: E X
authors.initials: EX
authors.lastname: Yu
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003110:Colonic Neoplasms / Q000150:complications; D004365:Drugs, Chinese Herbal / Q000627:therapeutic use*; D005260:Female; D006801:Humans; D007213:Indomethacin / Q000627:therapeutic use*; D008113:Liver Neoplasms / Q000150:complications*; D008297:Male; D008875:Middle Aged; D009294:Narcotics / Q000627:therapeutic use; D010148:Intractable Pain / Q000188:drug therapy* / Q000209:etiology; D010653:Phenylbutazone / Q000627:therapeutic use; D012004:Rectal Neoplasms / Q000150:complications
chemical_list: D004365:Drugs, Chinese Herbal; D009294:Narcotics; D010653:Phenylbutazone; D007213:Indomethacin