Breakthrough Cancer Pain

Xuehai Yan
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Abstract

Breakthrough cancer pain has attracted more and more attentions recently because it has become the biggest obstacle to control cancer pain. Pain can occur at any stage of cancer. Despite the aggressive treatment, some patients still experience high-intensity pain in the short term, which is commonly referred to as breakthrough pain. Typical breakthrough pain has clinical features such as rapid onset and short duration, and it has uncontrollable and unpredictable characteristics, which impact the overall life quality of patients and the therapeutic effect of cancer pain. It has always been a puzzle and difficult in clinical treatment of breakthrough cancer pain. This paper aims to provide a more detailed review of the definition, assessment tools, classification and characteristics, epidemiology, and mechanism and treatment of breakthrough cancer pain, in order to facilitate the future development of this work in clinical treatment.
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突破性癌症疼痛
突破性癌痛已成为控制癌痛的最大障碍,近年来受到越来越多的关注。疼痛可以发生在癌症的任何阶段。尽管进行了积极的治疗,一些患者仍然会在短期内经历高强度的疼痛,这通常被称为突破性疼痛。典型的突发性疼痛具有起病快、持续时间短等临床特点,具有不可控、不可预测的特点,影响患者的整体生活质量和癌痛的治疗效果。突破性癌痛一直是临床治疗中的一个难题和难点。本文旨在对突破性癌性疼痛的定义、评估工具、分类与特征、流行病学、机制与治疗等方面进行较为详细的综述,以促进该工作在临床治疗中的进一步发展。
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