[Results of incremental drug pain therapy in patients with head-and-neck tumors].
46 patients with progressive tumors in the head and neck region (18 x oropharynx, 13 x hypopharynx, 9 x larynx and 6 x other localization) were treated with a increasing analgetic therapy regimen (WHO schedule) for their cancer pain. The results of the therapy were recorded and controlled with the aid of scale methods. A good result was recorded with the administration of (a) peripheral analgetics on 42% of therapy days and (b) weak nonnarcotic opiates in combination with peripheral analgetic drugs and partially with psychopharmaceuticals (17.5%) on 51% of therapy days. A therapy with strong opiates (regularly in combination) was necessary on 7% of all therapy days. A total of 4848 therapy days have been considered here. The principles and problems of such a stepwise treatment schedule are discussed.
Universität Rostock, Medizinische Fakultät, Hals-Nasen-Ohren-Klinik und Poliklinik, Otto Körner.
D
D
Kleemann
B
B
Kramp
D000700:Analgesics / Q000008:administration & dosage*; D000701:Analgesics, Opioid / Q000008:administration & dosage; D004359:Drug Therapy, Combination; D006258:Head and Neck Neoplasms / Q000503:physiopathology*; D006801:Humans; D009294:Narcotics / Q000008:administration & dosage; D010146:Pain / Q000175:diagnosis / Q000188:drug therapy*; D010147:Pain Measurement; D011619:Psychotropic Drugs / Q000008:administration & dosage
D000700:Analgesics; D000701:Analgesics, Opioid; D009294:Narcotics; D011619:Psychotropic Drugs
Ergebnisse der stufenweisen medikamentösen Schmerz-therapie bei Patienten mit Kopf-Hals-Tumoren.